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MR. SURESH V. UNDAVIA MD NPI 1386627065


NPI Information

NPI: 1386627065
Provider Name: MR. SURESH V. UNDAVIA, MD
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Individual

Specialization: Psychiatry

PECOS Registration: Yes

CLIA Number: 33D2083853

Address:
114 CLAYTON AVE
VESTAL, NY
ZIP 13850
Phone: (607) 785-4277
Get Directions

MR. Suresh V. Undavia, MD is a psychiatry psychiatry neurology in Vestal, NY. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. MR. Suresh V. Undavia, MD NPI is 1386627065. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

114 CLAYTON AVE
VESTAL, NY
ZIP 13850-430
Phone: (607) 785-4277
Fax: (607) 785-3617

The NPI 1386627065 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 33D2083853 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/27/2005 and was last updated on 3/11/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiologyNY122304NEW YORKNo
22084F0202XPsychiatry & NeurologyForensic Psychiatry122304NEW YORKNo
32084N0400XPsychiatry & NeurologyNeurology122304NEW YORKNo
42084P0802XPsychiatry & NeurologyAddiction Psychiatry122304NEW YORKNo
52084P0805XPsychiatry & NeurologyGeriatric Psychiatry122304NEW YORKNo
6207L00000XAnesthesiology122304NEW YORKNo
72084P0800XPsychiatry & NeurologyPsychiatry122304NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1SU35020BMEDICARE ID-TYPE UNSPECIFIEDNEW YORKM.D.
2OO577399MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.