MR. SUTHAHARAN VIMALENDRAN


Address: 6846 Buckley Road, Syracuse, NY 13212-4264
Phone: 3154106400

MR. SUTHAHARAN VIMALENDRAN (NPI# 1922409671) 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) 1922409671
Entity Type Individual
Full Name MR. SUTHAHARAN VIMALENDRAN
Credential MD
Practice Address 6846 Buckley Road
Syracuse
NY 13212-4264
Practice Telephone 3154106400
Practice Fax Number 3154106410
Mailing Telephone 3154106400
Mailing Fax Number 3154106410
Enumeration Date 2014-09-12
Last Update Date 2015-05-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
272376-1 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 6846 BUCKLEY ROAD
City SYRACUSE
State NY
Zip Code 13212-4264

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1285017095 Lacey Foster Skilled Nursing Facility 5991 East Taft Rd, North Syracuse, NY 13212 2015-06-30
1346500345 Wahienhawi Hall Counselor 7266 Buckley Rd., Bright Path Counseling Center, North Syracuse, NY 13212 2012-05-23
1316253768 Jenny Barnum Nurse Practitioner 5232 Witz Dr, North Syracuse, NY 13212 2010-08-24
1063738797 Gregory 'greg' Procopio Registered Nurse 308 Charlane Parkway, North Syracuse, NY 13212 2010-04-20
1316142243 Carrie Marie Vincent Specialist 401north Main Street, North Syracuse, NY 13212 2007-06-20
1245307594 Lynda Robin Kreitzer Podiatrist 316 South Main Street, North Syracuse, NY 13212 2006-11-30
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801203898 Syed Hassan Raza Bukhari Internal Medicine 750 E Adams St # 343, Syracuse, NY 13210-2306 2014-07-22
1881113488 Joanna Angela Woodruff Internal Medicine 1304 Buckley Rd Ste 200, Syracuse, NY 13212-4317 2017-09-14
1932525425 Alia Hasan Internal Medicine 800 Irving Ave, Syracuse, NY 13210-2716 2014-03-09
1316235583 Vikram Aggarwal Internal Medicine 750 E Adams St, Room 343 Cwb, Syracuse, NY 13210-2306 2011-07-21
1104057751 Eric K. Ofori Internal Medicine 301 Prospect Avenue, Syracuse, NY 13203 2009-07-30
1407019730 Antoine Azar Internal Medicine 1304 Buckley Road, Suite 200, Syracuse, NY 13212-4317 2008-07-07
1831276823 Nephrology Associates of Syracuse, P.C. Internal Medicine 1304 Buckley Rd, Syracuse, NY 13212-4302 2006-11-01
1629154653 Matthew G Chaffin Internal Medicine 1304 Buckley Road, Syracuse, NY 13212 2006-10-31
1760584411 Bala K Murthy Internal Medicine 1304 Buckley Rd, Syracuse, NY 13212-4311 2006-09-02
1578593968 Steven J Scheinman Internal Medicine 90 Presidential Plz, Firm C, Syracuse, NY 13202-2240 2006-07-03
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City SYRACUSE
Zip Code 13212

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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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