Johri, Surendra K.
Johri, Surendra K. is an individual health care provider with primary practice located at 1427 Genesee St , Utica NY 13501-4343. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Johri, Surendra K. can be contacted via phone (315) 738-1428.Contact Information
Primary practice address
1427 Genesee St
Utica NY 13501-4343
Phone: (315) 738-1428
Fax: (315) 738-1461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 238870-1 | New York |
Profile Details
| NPI number | 1629022140 |
|---|---|
| LBN Legal business name | Johri, Surendra K. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Jun 17th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629022140 | NPPES |
| New York | MEDICAID | 00474180 | |
| New York | MEDICAID | 01039156 |
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