Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 313238 | NY |
N | 208800000X | Urologist | TRN27760 | FL |
NPI | 1013490309 |
---|---|
Provider Name | Dr. Seetharam Bhat Kulthe Ramesh |
First Address | Syracuse, NY 13212-4516 |
Second Address | Syracuse, NY 13202 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2018 |
Last Update Date | 21/10/2021 |