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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

VAMSI KRISHNA SURYADEVARA

Active

VAMSI KRISHNA SURYADEVARA is a Pharmacist Clinician (PhC) healthcare provider located in PENNSAUKEN, New Jersey. NPI 1932710662 is currently active in the NPPES registry. Verify at CMS.

Pharmacist Clinician (PhC) · PENNSAUKEN, NJ

Registration Details

NPI Number
1932710662
Provider Type
Individual
Gender
Male
NPI Issued
Aug 15, 2020 (6.0435482431485 yrs)
Last Updated
Aug 15, 2020
License
28RI03980000 (NJ)

Practice Information

Address
4601 WESTFIELD AVE
PENNSAUKEN, NJ, 081103029
Browse NJ providers · Browse ZIP 08110
Phone
8566633405
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X
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.