Suthaharan Vimalendran, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

272376-1 Issued in NY

Practice address

6846 Buckley Road
Syracuse, NY 13212-4264

Phone

(315) 410-6400

Fax

(315) 410-6410

NPI assigned

Sep 12, 2014

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1922409671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6846 BUCKLEY ROAD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132124264",
            "telephone_number": "315-410-6400",
            "fax_number": "315-410-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6846 BUCKLEY ROAD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132124264",
            "telephone_number": "315-410-6400",
            "fax_number": "315-410-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIMALENDRAN",
        "first_name": "SUTHAHARAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-12",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "272376-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diego Villamizar, M.D.
• Sal Villano, SOCIAL WORK
• Cory Ryan Villanueva, PHARMD
• Jeffrey Villanueva, MD
• Daniel Villarreal, MD
• Andrew A Vincent
• Kayla Alexis Vincent
• Laura H Vincent, SLP
• Tara K Vincent, RPH
• Emily Elizabeth Vincentini, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.