National Provider Identifier
Deepan Selvadurai, MD
Deepan Selvadurai, MD is listed in the NPPES registry with a primary specialty of Ophthalmology Physician in Orchard Park, NY and a listed phone number of (716) 671-9020.
Profile Overview
- NPI
- 1790795433
- Provider Type
- Individual
- Primary Specialty
- Ophthalmology Physician
- Enumeration Date
- August 08, 2006
- Last Updated
- March 30, 2021
Practice Location
- 3055 Southwestern Blvd Ste 108
- Orchard Park, NY 14127-1231
Phone: (716) 671-9020
Mailing Address
- 405 International Dr
- Williamsville, NY 14221-5725
Specialties
- Ophthalmology Physician (207W00000X)
Full Record
- NPI
- 1790795433
- Entity Type
- Individual
- Last Name
- Selvadurai
- First Name
- Deepan
- Credential
- MD
- Mailing Street Address
- 405 International Dr
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5725
- Mailing Country
- US
- Mailing Phone
- (716) 633-7386
- Mailing Fax
- (716) 204-3166
- Practice Street Address
- 3055 Southwestern Blvd Ste 108
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1231
- Practice Country
- US
- Practice Phone
- (716) 671-9020
- Enumeration Date
- August 08, 2006
- Last Updated
- March 30, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 23, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Ophthalmology Physician (207W00000X)
- Other Identifiers
- 03256860 (NY), 719437000 (MN)