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Contact Information

MANIKA SURYADEVARA, MD
750 E ADAMS ST
SYRACUSE, NY13210-2342
 Phone: 315-464-5450
 Fax: 315-464-6322
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MANIKA SURYADEVARA · (Female)

NPI Number 1124295696
Status Active
Credentials MD
Entity Individual
Enumeration date 05/13/2008
Last updated 08/27/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 264579
  • NY Medicaid 03470335
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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