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1386107001
SUMAN SREENIVASA RAO
SYRACUSE, NY
NPI
1386107001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-04-09
Last Update Date
2023-12-22
Business Address
SUMAN SREENIVASA RAO MD
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-5240
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Mailing Address
SUMAN SREENIVASA RAO MD
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number:
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