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NPI 1023462538

NPI 1023462538 : SINDHURI GAYAM : SYRACUSE, NY

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General NPI Number Information
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    NPI Number           |    1023462538
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    Entity Type          |    Individual 
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    Provider Name        |    SINDHURI GAYAM
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/20/2016
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    Last Update Date     |    09/23/2025
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Provider Practice Location Address
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    Address Line         |    4488 ONONDAGA BLVD 
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    City                 |    SYRACUSE
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    State                |    NY
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    Zip                  |    13219-3114
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    Country              |    US
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    Telephone            |    315-492-5784
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    Fax                  |    315-492-5782
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Provider Business Mailing Address
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    Address Line         |    1001 W FAYETTE ST STE 400 
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    City                 |    SYRACUSE
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    State                |    NY
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    Zip                  |    13204-2866
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    Country              |    US
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    Telephone            |    315-937-3026
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RE0101X
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    Taxonomy Name        |    Endocrinology, Diabetes & Metabolism Physician
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    License Number       |    299744
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    License Number State |    NY
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