Individual
MR. SUTHAHARAN VIMALENDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6846 BUCKLEY ROAD, SYRACUSE, NY 13212-4264
(315) 410-6400
(315) 410-6410
Mailing address
6846 BUCKLEY ROAD, SYRACUSE, NY 13212-4264
(315) 410-6400
(315) 410-6410
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
272376-1
NY
Other
Enumeration date
09/12/2014
Last updated
05/12/2015
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