Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MANOJ SURYANARAYANAN, M.D
ActiveDR. MANOJ SURYANARAYANAN, M.D is a Sports Medicine (IM) healthcare provider located in WILKES BARRE, Pennsylvania. NPI 1922379908 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · WILKES BARRE, PA
Registration Details
- NPI Number
- 1922379908
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 23, 2012 (14.596029369699 yrs)
- Last Updated
- Sep 13, 2021
- Licenses
-
MD475195 (PA)0436424 (KS)
Practice Information
- Address
-
25 CHURCH STWILKES BARRE, PA, 187023507Browse PA providers · Browse ZIP 18702
- Phone
- 5708083100
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Hospitalist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.