Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kavita Suryadevara, PA-C

Individual provider Physician Assistant · NPI 1619518628

Kavita Suryadevara, PA-C is a Physician Assistant in Syracuse, New York. Qualified in 2019, 7 years ago. Practices with Syracuse Otolaryngology PLLC, a 4-clinician group.

Years since qualifying
7
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

101 Richmond Ave Ste 320
Syracuse, NY 13204-2298
Phone: (315) 254-2030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1619518628
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 1, 2019
Last updated in NPPESMarch 8, 2024
Certification dateMarch 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Syracuse Otolaryngology Pllc — 4 clinicians
Accepts Medicare assignment Not indicated

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