Selvadurai, Deepan

Selvadurai, Deepan is an individual health care provider with primary practice located at 3055 Southwestern Blvd Ste 108 , Orchard Park NY 14127-1231. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Selvadurai, Deepan can be contacted via phone (716) 671-9020.

Contact Information

Primary practice address
3055 Southwestern Blvd Ste 108 Orchard Park NY 14127-1231
Phone: (716) 671-9020
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 258143 New York

Profile Details

NPI number 1790795433
LBN Legal business name Selvadurai, Deepan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Mar 30th, 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 1790795433 NPPES
New York MEDICAID 03256860
New York MEDICAID 719437000

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