DEEPAN SELVADURAI


Address: 6333 Main St, Williamsville, NY 14221-5800
Phone: 7166323545

DEEPAN SELVADURAI (NPI# 1790795433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790795433
Entity Type Individual
Full Name DEEPAN SELVADURAI
Credential MD
Practice Address 6333 Main St
Williamsville
NY 14221-5800
Practice Telephone 7166323545
Practice Fax Number 7166326368
Mailing Telephone 7166323545
Mailing Fax Number 7166326368
Enumeration Date 2006-08-08
Last Update Date 2013-08-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207W00000X Ophthalmology 49141 MN Allopathic & Osteopathic Physicians
Y 207W00000X Ophthalmology 102558 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN 719437000 05

Office Location

Street Address 6333 MAIN ST
City WILLIAMSVILLE
State NY
Zip Code 14221-5800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306841226 Maureen K Lundergan Ophthalmology 6333 Main St, Williamsville, NY 14221-5800 2005-06-16
1326318619 Barry T. Malin Md, PC Urology 6333 Main St, Williamsville, NY 14221-5800 2012-01-04
1750509170 Jonathan C. Reynhout, M.d.p.c. Surgery 6333 Main St, Williamsville, NY 14221-5800 2007-04-23
1659440345 Errol S Daniels Optometrist 6333 Main St, Williamsville, NY 14221-5800 2006-11-07
1114014826 Williamsville Pediatric Center Pediatrics 6333 Main St, Williamsville, NY 14221-5800 2006-10-06
1609980879 Ophthalmology Assoc of Wny Ophthalmology 6333 Main St, Williamsville, NY 14221-5800 2006-08-17
1619983434 Erica Ann Patino Nurse Practitioner 6333 Main St, Suite 2, Williamsville, NY 14221-5800 2006-08-01
1013922723 Prashula Ellsworth Physician Assistant 6333 Main St, Suite 2, Williamsville, NY 14221-5800 2006-07-30
1124060918 Barry T Malin Urology 6333 Main St, Williamsville, NY 14221-5800 2006-06-13
1326098112 Donald F Switzer Internal Medicine 6333 Main St, Suite 2, Williamsville, NY 14221-5800 2006-05-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306447552 Kuldesh Singh Ubhi Student in an Organized Health Care Education/Training Program 850 Hoplins Road, Williamsville, NY 14221 2020-11-04
1992304968 Nicholas Robinson Nurse Practitioner 295 Essjay, Williamsville, NY 14221 2020-10-21
1457961104 Maria Fagant Licensed Practical Nurse 2550 Wehrle Drive Suite 1, Williamsville, NY 14221 2020-08-07
1073136362 Nicole Marie Mauro Licensed Practical Nurse 2550 Wehrle Drive, Williamsville, NY 14221 2020-05-21
1982258422 Schenk Primary Care Medicine, Pllc Clinic/Center 2350 Maple Road Suite 100, Amherst, NY 14221 2019-08-01
1669031365 Anh Thi Nguyet Phan Student in an Organized Health Care Education/Training Program 850 Hopkins Rd., Williamsville, NY 14221 2019-06-07
1801453394 Buffalo Medical Group, PC Clinic/Center 325 Essjay, Williamsville, NY 14221 2019-05-21
1265097265 Christine Marie Wolniewicz Dietitian, Registered 507 Maple Rd., Williamsville, NY 14221 2019-05-06
1750844957 Myles S Faith Psychologist 190 Rollingwood Street, Williamsville, NY 14221 2019-04-13
1902376536 Shane Michael Stadtmueller Chiropractor 5820 Main St. Suite 201, Williamsville, NY 14221 2018-11-27
Find all providers in zip 14221

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114112125 Retina Consultants of Western New York, PC Ophthalmology 6637 Main Street, Williamsville, NY 14221-5974 2007-09-12
1649241241 Jeffrey C Lamkin Ophthalmology 6480 Main Street, Suite 1, Williamsville, NY 14221 2006-01-31
1912985904 Diane T. Flanigen Ophthalmology 6333 Main Street, Williamsville, NY 14221-5800 2006-01-09
1760468409 Stephen B Pollack Ophthalmology 1630 Maple Rd, Williamsville, NY 14221-3706 2005-12-15
1679569214 Mehdi A Khan Ophthalmology 6637 Main St, Williamsville, NY 14221-5974 2005-09-20
1427040294 Kenneth David Anthone Ophthalmology 170 Maple Rd, Williamsville, NY 14221-2930 2005-08-18
1831181528 Eye Health Associates of Western New York PC Ophthalmology 170 Maple Road, Williamsville, NY 14221-2930 2005-08-18
1306844550 Philip R Niswander Ophthalmology 40 N Union Rd, Niswander Eye Center, Williamsville, NY 14221-5339 2005-07-12
1306841226 Maureen K Lundergan Ophthalmology 6333 Main St, Williamsville, NY 14221-5800 2005-06-16
1427051515 Peter Wm Forgach Ophthalmology 405 International Dr, Williamsville, NY 14221-5725 2005-05-23
Find all providers in WILLIAMSVILLE

Competitor

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City WILLIAMSVILLE
Zip Code 14221

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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