Most Relevant Information
Provider Data
| NPI Number: | 1003377979 |
| Provider Name: | SHAUNA THARIATH MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | 317553 |
Most Important Dates
| Enumeration Date: | 03/25/2019 |
| Last Updated: | 05/11/2023 |
Provider Practice Location
725 EAST ADAMS ST
4TH FL
SYRACUSE
NY
13210
Practice Location Phone/Fax
| Phone: | 3154645831 |
| Fax: | 3154642030 |
Provider Mailing Location
725 EAST ADAMS ST
4TH FL
SYRACUSE
NY
13210
Provider Mailing Phone/Fax
| Phone: | 3154645831 |
| Fax: | 3154642030 |
Suggested EMR
Pediatrics EMR