Suryadevara, Vana Rani

Suryadevara, Vana Rani is an individual health care provider with primary practice located at 69 S Broadway , Yonkers NY 10701-4004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Suryadevara, Vana Rani can be contacted via phone (914) 376-5555.

Contact Information

Primary practice address
69 S Broadway Yonkers NY 10701-4004
Fax: (914) 964-1477
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 231409 New York

Profile Details

NPI number 1558361212
LBN Legal business name Suryadevara, Vana Rani
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Jul 8th, 2007 - about 17 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 1558361212 NPPES
New York MEDICAID 02526589

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