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NPI Code Detail

MEDICARE: SURYA NARLA

MEDICARE: SURYA NARLA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1255185583
Entity Type Code : Individual
Provider Name (Legal Business Name) : SURYA NARLA
Provider Business Mailing Address
First Line : 1 DONNA DR
Second Line :
City : FLEMINGTON
State : NJ
Zip : 08822-6516
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 696 E SCHREYER PL
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-2229
Country : US
Telephone Number : 614-579-9978
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2024
Last Update Date : 04/15/2024

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Directions to “ SURYA NARLA ” Practice Location

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