Devaraj, Kiran

Devaraj, Kiran is an individual health care provider with primary practice located at 90 Presidential Plz Fl 5 , Syracuse NY 13202-2240. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Devaraj, Kiran can be contacted via phone (315) 464-9335.

Contact Information

Primary practice address
90 Presidential Plz Fl 5 Syracuse NY 13202-2240
Phone: (315) 464-9335
Fax: (315) 464-9338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 294853 New York
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 294853 New York

Profile Details

NPI number 1952544652
LBN Legal business name Devaraj, Kiran
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2009
Last updated Sep 19th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952544652 NPPES
New York MEDICAID 05297136

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