Sudharam Idupuganti in Brooklyn - Psychiatry

Sudharam Idupuganti - NPI 1790742005

Sudharam Idupuganti is a Psychiatry in Brooklyn, New York. Sudharam Idupuganti practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Sudharam Idupuganti is 1790742005. The last update date is 2011-09-30.

Sudharam Idupuganti's current location address is 585 Bay Ridge Pkwy, Brooklyn, New York. You can contact this provider via phone number 7189211001 and fax number 7189211001. The mailing address for Sudharam Idupuganti is 585 Bay Ridge Pkwy, Brooklyn, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Sudharam Idupuganti
Address 585 Bay Ridge Pkwy, Brooklyn, New York
Phone Number 7189211001
Fax Number 7189211001
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1790742005
Provider Enumeration Date 2006-04-28
Last Updated Date 2011-09-30

Provider Mailing Address Detail

Address 585 Bay Ridge Pkwy
City Brooklyn
State New York (NY)
Post Code 112093309
Phone Number 7189211001
Fax Number 7189211001

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 138851
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
435676 NY --

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FAQs about Sudharam Idupuganti

What is the unique identification code assigned to Sudharam Idupuganti by the Centers for Medicare & Medicaid Services?

The Sudharam Idupuganti has been issued the NPI (National Provider Identifier) 1790742005. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Sudharam Idupuganti is physically located?

The Sudharam Idupuganti is situated at the following address: 585 Bay Ridge Pkwy, Brooklyn, NY 112093309.

What is Sudharam Idupuganti's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Sudharam Idupuganti is Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0800X.

On what date was the 1790742005 assigned to Sudharam Idupuganti?

The Sudharam Idupuganti was issued its 1790742005 on 2006-04-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Sudharam Idupuganti most recently updated?

The details pertaining to the Sudharam Idupuganti, including its address, specialty, and other relevant information, were last refreshed on 2011-09-30.

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