Individual
SURYA SABHAPATHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
206 N RANDOLPH ST, 2ND FLOOR (PRIVATE OFFICE 246), CHAMPAIGN, IL 61820
(833) 351-8255
(888) 815-3583
Mailing address
109 W 27TH ST RM 5S, NEW YORK, NY 10001-6208
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.145757
IL
2084P0800X
Psychiatry Physician
036145757
IL
Other
Enumeration date
04/02/2015
Last updated
11/10/2025
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