Individual
AVANISH SURASANI REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(315) 725-6141
Mailing address
2830 JACKSON AVE APT 47A, LONG ISLAND CITY, NY 11101-3324
(315) 725-6141
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
298730
NY
207L00000X
Anesthesiology Physician
A180537
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
04/05/2015
Last updated
07/02/2025
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