Individual
DR. KIRAN DEVARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 PRESIDENTIAL PLZ FL 5, SYRACUSE, NY 13202-2240
(315) 464-9335
(315) 464-9338
Mailing address
251 SALINA MEADOWS PKWY STE 100, SYRACUSE, NY 13212-4516
(315) 464-2014
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
294853
NY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
294853
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05297136
—
NY
Enumeration date
04/09/2009
Last updated
09/19/2021
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