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
Phone: (732) 937-8939
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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