| Suhrudh Reddy Daaram, MD | |
| 
					475 Seaview Ave, Staten Island, NY 10305-3436  | |
| (630) 881-9969 | |
| Not Available | 
| Full Name | Suhrudh Reddy Daaram | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 475 Seaview Ave, Staten Island, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1730760117 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 329669 (New York) | Secondary | 
| 207P00000X | Emergency Medicine | 25MA12223100 (New Jersey) | Primary | 
| Entity Name | North Shore-lij Medical Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Suhrudh Reddy Daaram, MD 40 Greylynne Dr, Princeton, NJ 08540-6280 Ph: (630) 881-9969  | Suhrudh Reddy Daaram, MD 475 Seaview Ave, Staten Island, NY 10305-3436 Ph: (630) 881-9969  | 
Shamyla Farrukh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9158 Fax: 718-226-6964  | |
Dr. Shorok E Hassan, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9000  | |
Patrick Kettyle, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-8855  | |
Edward Adrian, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 355 Bard Ave, Emergency Dept, Staten Island, NY 10310 Phone: 718-818-2055 Fax: 212-356-4608  | |
Paul Bollmeyer, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 355 Bard Ave, Staten Island, NY 10310 Phone: 718-818-2055 Fax: 212-356-4608  | |
Ann Marchesano, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 355 Bard Ave, Emergency Dept, Staten Island, NY 10310 Phone: 718-818-2055 Fax: 212-356-4608  | |
Dr. Teresa Myongeun Choe, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-8855  |