Reddy, Anil Kumar Surasani

Reddy, Anil Kumar Surasani is an individual health care provider with primary practice located at 1656 Champlin Ave , Utica NY 13502-4830. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Reddy, Anil Kumar Surasani can be contacted via phone (315) 798-9788.

Contact Information

Primary practice address
1656 Champlin Ave Utica NY 13502-4830
Phone: (315) 798-9788
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2005851 New York

Profile Details

NPI number 1407846959
LBN Legal business name Reddy, Anil Kumar Surasani
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Mar 3rd, 2022 - about 4 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 1407846959 NPPES
Other 00931237 MEDICAID GROUP #
Other 050073887 MEDICAID GROUP #
Other 207045400 MEDICAID GROUP #
Other 0040877301 MEDICAID GROUP #
Other 361307 MEDICAID GROUP #
MEDICAID 02067678 MEDICAID GROUP #
Other 54602A MEDICAID GROUP #
Other 100182665001 MEDICAID GROUP #
Other 10058425 MEDICAID GROUP #
Other 1826650 MEDICAID GROUP #
Other 40426014144 MEDICAID GROUP #
Other 11316552 MEDICAID GROUP #

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