Mary Sujana Kantharaj in Johnson City - Medical
Mary Sujana Kantharaj - NPI 1417947631
Mary Sujana Kantharaj is a Medical in Johnson City, New York. Mary Sujana Kantharaj practices all healthcare services and medical treatments related to Medical. The NPI Number for Mary Sujana Kantharaj is 1417947631. The last update date is 2007-07-09.
Mary Sujana Kantharaj's current location address is 15 Riverside Dr, Johnson City, New York. You can contact this provider via phone number 6077709050 and fax number 6077709091. The mailing address for Mary Sujana Kantharaj is 15 Riverside Dr, Johnson City, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Sujana Kantharaj |
|---|---|
| Address | 15 Riverside Dr, Johnson City, New York |
| Phone Number | 6077709050 |
| Fax Number | 6077709091 |
| Sole Proprietor | X |
| Credentials | RPA-C |
NPI Number Detail
| NPI Number | 1417947631 |
|---|---|
| Provider Enumeration Date | 2005-10-27 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 15 Riverside Dr |
|---|---|
| City | Johnson City |
| State | New York (NY) |
| Post Code | 137902742 |
| Phone Number | 6077709050 |
| Fax Number | 6077709091 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 9664 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1283132 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Sujana Kantharaj by the Centers for Medicare & Medicaid Services?
The Mary Sujana Kantharaj has been assigned the NPI (National Provider Identifier) 1417947631. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mary Sujana Kantharaj?
The Mary Sujana Kantharaj is physically situated at 15 Riverside Dr, in the city of Johnson City, state of NY, with the postal code 137902742.
What is Mary Sujana Kantharaj's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mary Sujana Kantharaj is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
When was the Mary Sujana Kantharaj's 1417947631 issued?
The Mary Sujana Kantharaj's 1417947631 was issued on 2005-10-27.
As of what date was the information regarding Mary Sujana Kantharaj, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mary Sujana Kantharaj, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.