Agu NMN Suvari, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD 4836 Issued in RI

Practice address

718 Smyth Rd
Vamc-Primary Care
Manchester, NH 03104-7007

Phone

(603) 624-4366

Fax

(603) 841-9038

NPI assigned

Mar 26, 2007

Last updated

Jan 26, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232928000000",
    "number": "1336267897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 SMYTH RD",
            "address_2": "VAMC-PRIMARY CARE",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031047007",
            "telephone_number": "603-624-4366",
            "fax_number": "603-841-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 SMYTH RD",
            "address_2": "VAMC-PRIMARY CARE",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031047007",
            "telephone_number": "603-624-4366",
            "fax_number": "603-841-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUVARI",
        "first_name": "AGU",
        "middle_name": "NMN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2009-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD 4836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supporting Independence for Your Aspiration LLC (Siya)
• Cheryl Ann Surette, RN
• Darleen A Suther, RN
• Lyudmila Sutherland, O.D.
• Mandi Jo Sutton
• Andrew Swanson, ATC
• Haylee Marissa Swanson, BS
• Stephanie Catherine Swanson, RN
• Emily H Sween, LCMHC
• Diane Sophie Sweeney

• Internal Medicine Physician in Manchester, NH
• Providers in Manchester, NH by specialty
• Internal Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.