SURESH UNDAVIA, MD PLLC
NPI 1154582005
Psychiatry & Neurology - Neurology in Vestal, NY

Q: What is Suresh Undavia, MD PLLC's NPI number?

The NPI number for Suresh Undavia, MD PLLC is 1154582005. It was assigned to this organization in the NPPES registry on June 23, 2008.

Q: What is Suresh Undavia, MD PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since June 23, 2008

114 CLAYTON AVE, VESTAL, NY 13850(607) 785-4277(607) 785-3617 Get Directions Write a Review

NPPES record last updated: June 23, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Suresh Undavia, Md Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURESH UNDAVIA, MD PLLC (NPI 1154582005) is a healthcare organization registered as a neurology in Vestal, New York and active in the NPI registry since June 2008. The organization lists Suresh Undavia, Psychiatrist, as its authorized official.

NPPES Registry Identity

NPI1154582005

Entity TypeOrganization

Primary Taxonomy2084N0400X

Legal Business NameSURESH UNDAVIA, MD PLLC

Location Address114 CLAYTON AVEVestal, NY 13850-2430

Mailing AddressPo Box 645Vestal, NY 13851-0645 · (607) 785-4277

Phone(607) 785-4277

Fax(607) 785-3617

Organization SubpartNo

Authorized OfficialSuresh UndaviaPsychiatrist · (607) 785-4277

Enumeration DateJune 23, 2008

✔ NPI 1154582005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in NY · 122304

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

114 CLAYTON AVE, Vestal, NY 13850

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Other Names 1

Doing Business AsSuresh Undavia, Md Pllc

Other Identifiers 1

Medicare UPINB81686NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. SURESH V. UNDAVIA MD

Psychiatry & Neurology (Psychiatry)

114 CLAYTON AVE
VESTAL, NY 13850

Broome County (607) 785-4277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suresh Undavia, MD PLLC's NPI number?

The NPI number for Suresh Undavia, MD PLLC is 1154582005. It was assigned to this organization in the NPPES registry on June 23, 2008.

Where is Suresh Undavia, MD PLLC located?

Suresh Undavia, MD PLLC is located at 114 Clayton Ave, Vestal, NY 13850. The listed phone number is (607) 785-4277.

What is Suresh Undavia, MD PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Suresh Undavia, MD PLLC was last updated on June 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.