Individual provider · Type 1 NPI

Prasanna Sooriakumaran, MD, PhD

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1598086829 Active

Practice location

525 E 68th St, Box 94
New York, NY 10065-4870

Call (917) 612-9229 Map

Mailing address

1330 1st Ave, Apt. 518
New York, NY 10021-4742

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XP75604 (NY)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1598086829

Prasanna Sooriakumaran, MD, PhD's National Provider Identifier is 1598086829, issued on Jun 22, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Jun 22, 2010.