Undavia, Suresh V.
Undavia, Suresh V. is an sole proprietor health care provider with primary practice located at 114 Clayton Ave , Vestal NY 13850-2430. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Undavia, Suresh V. can be contacted via phone (607) 785-4277.Contact Information
Primary practice address
114 Clayton Ave
Vestal NY 13850-2430
Phone: (607) 785-4277
Fax: (607) 785-3617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | 122304 | New York |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 122304 | New York |
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | 122304 | New York |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 122304 | New York |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 122304 | New York |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | NY122304 | New York |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 122304 | New York |
Profile Details
| NPI number | 1386627065 |
|---|---|
| LBN Legal business name | Undavia, Suresh V. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 27th, 2005 |
| Last updated | Mar 11th, 2014 - about 10 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 | 1386627065 | NPPES |
| New York | MEDICAID | OO577399 |
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