Surjit K Dhamoon MD PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

SURJIT K DHAMOON MD PC

Practice address

4900 Broad Rd
CGH Pob Suite 2F
Syracuse, NY 13215-2265

Phone

(315) 492-5841

Fax

(315) 492-5843

NPI assigned

Oct 19, 2005

Last updated

Apr 11, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Surjit K Dhamoon, MDNPI 1073513271

Title

Owner

Phone

(315) 492-5841

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Surjit K Dhamoon, MD

  • Neurology Physician
  • Syracuse, NY
  • NPI 1073513271
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1053300327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2001",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574501",
            "telephone_number": "315-449-2208",
            "fax_number": "315-362-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 BROAD RD",
            "address_2": "CGH POB SUITE 2F",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132152265",
            "telephone_number": "315-492-5841",
            "fax_number": "315-492-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURJIT K DHAMOON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "DHAMOON",
        "authorized_official_first_name": "SURJIT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-492-5841",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suny Upstate Medical University Hospital
• Suny Upstate University Hospital
• Brandi Supernault
• Karna Tushar Sura, M.D.
• Nivedita Suresh, MD
• Amar C Suryadevara, MD
• Kavita Suryadevara, PA-C
• Manika Suryadevara, MD
• Naveen Suryadevara
• Susama Verma MD PLLC

• Neurology Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.