Individual
VETRI SUDAR JAYAPRAKASAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS, FRCR
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-5282
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-5282
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
309060
NY
2085B0100X
Body Imaging Physician
309060
NY
Other
Enumeration date
11/03/2019
Last updated
05/15/2021
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