Nevatia, Surendra Kumar

Nevatia, Surendra Kumar is an individual health care provider with primary practice located at 92 Broad St , Glens Falls NY 12801-4383. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Nevatia, Surendra Kumar can be contacted via phone (518) 793-9055.

Contact Information

Primary practice address
92 Broad St Glens Falls NY 12801-4383
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 152775 New York

Profile Details

NPI number 1396705869
LBN Legal business name Nevatia, Surendra Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Nov 23rd, 2015 - about 11 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 1396705869 NPPES
New York MEDICAID 00889510

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