Suryadevara, Madhu

Suryadevara, Madhu is an individual health care provider with primary practice located at 166 Lyons Ave Fl 2 , Newark NJ 07112-2016. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Suryadevara, Madhu can be contacted via phone (732) 937-8939.

Contact Information

Primary practice address
166 Lyons Ave Fl 2 Newark NJ 07112-2016
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA10940200 New Jersey
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 25MA10940200 New Jersey

Profile Details

NPI number 1578906772
LBN Legal business name Suryadevara, Madhu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2013
Last updated Apr 24th, 2023 - about 3 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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