Selvarajah, Niranjan M

Selvarajah, Niranjan M is an sole proprietor health care provider with primary practice located at 1729 Burrstone Road Slocum Dickson Medical Group, New Hartford NY 13413-6680. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Selvarajah, Niranjan M can be contacted via phone (315) 798-1700.

Contact Information

Primary practice address
1729 Burrstone Road Slocum Dickson Medical Group New Hartford NY 13413-6680
Phone: (315) 798-1700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 238340 New York
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 238340 New York

Profile Details

NPI number 1548256399
LBN Legal business name Selvarajah, Niranjan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2005
Last updated Oct 26th, 2011 - about 13 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 1548256399 NPPES
New York MEDICAID 02936689

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