Individual provider · Type 1 NPI
Amar C. Suryadevara, MD
Otolaryngology/Facial Plastic Surgery Physician · Syracuse, NY
NPI number
1255599494
Active
Practice location
750 E Adams St
Syracuse, NY 13210-2342
Fax (315) 464-7282
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | 251462-1 (NY) |
| Otolaryngology Physician | 207Y00000X | MD60003283 (WA) |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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About NPI 1255599494
Amar C. Suryadevara, MD's National Provider Identifier is 1255599494, issued on May 23, 2008. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Syracuse, NY. The record was last updated on Aug 10, 2009.