Suman Behera, M.D.
Individual provider Active NPI Nephrology Physician · New Hartford, NY
NPI 1982057097 · NPPES record last updated Oct 20, 2021
Key facts
- NPI
- 1982057097
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 311558 (NY)
- Practice address
- 555 French Rd Ste 103
New Hartford, NY 13413-1070 - Phone
- (315) 735-3541
- Fax
- (315) 724-3255
- NPI assigned
- Jul 13, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | ||
| Nephrology Physician | 207RN0300X | 311558 | NY | Yes |
Addresses
Primary practice location
555 French Rd Ste 103
New Hartford, NY 13413-1070
Mailing address
555 French Rd Ste 103
New Hartford, NY 13413-1070
Phone (315) 735-3541
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- Gail L. Belden-Harrington
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All providers in New Hartford, NY · Nephrology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.