Surendra Pattathan, DDS is a
Dentist based in Brocton, New York. Surendra Pattathan is licensed to practice in New York (license number 36626) and his current practice location is
9300 Lake Ave, Brocton, New York. He can be reached at his office (for appointments etc.) via phone at
(631) 790-4083.
NPI number for Surendra Pattathan is 1023863636 and his current mailing address is 9300 Lake Ave, Brocton, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023863636.
Healthcare Provider's Profile
Full Name | Surendra Pattathan |
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Gender | Male |
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Speciality | Dentist |
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Location | 9300 Lake Ave, Brocton, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023863636
- Provider Enumeration Date: 04/18/2024
- Last Update Date: 04/18/2024
Medical Identifiers
Medical identifiers for Surendra Pattathan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023863636 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 36626 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Surendra Pattathan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Surendra Pattathan, DDS 9300 Lake Ave, Brocton, NY 14716-9621 Ph: (716) 792-7100 | Surendra Pattathan, DDS 9300 Lake Ave, Brocton, NY 14716-9621 Ph: (631) 790-4083 |
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