Ross, Sudeep Jabaraj

Ross, Sudeep Jabaraj is an individual health care provider with primary practice located at 854 Route 212 Saugerties Wellness Center, Saugerties NY 12477. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ross, Sudeep Jabaraj can be contacted via phone (845) 246-2804.

Contact Information

Primary practice address
854 Route 212 Saugerties Wellness Center Saugerties NY 12477
Phone: (845) 246-2804
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 297063 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MT187011 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 297063 New York

Profile Details

NPI number 1821203589
LBN Legal business name Ross, Sudeep Jabaraj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Jun 25th, 2019 - about 6 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 1821203589 NPPES
New York MEDICAID 05420228
New York MEDICAID 1821203589

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