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Sudha Kuncham, MD
Specialist in Bellmore, New York
NPI 1164501185

Sudha Kuncham is a Specialist based in Bellmore, NY. Sudha Kuncham practices in Bellmore, NY and has the professional credentials of MD. The NPI Number for Sudha Kuncham is 1164501185 and holds a License No. 159205 (New York).

The current practice location address for Sudha Kuncham is 2428 Merrick Rd, Bellmore, NY and can be reached out via phone at 516-379-2689 and via fax at 516-867-3880.

Location: 2428 Merrick Rd, Bellmore, NY, 11710-5704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164501185
Provider Name
Sudha Kuncham
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2428 Merrick Rd, Bellmore, NY, 11710-5704
Phone Number
516-379-2689
Fax Number
516-867-3880
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
84D771 01 NY MEDICARE ID#
institution
Provider Business Practice Location Address Details
Address
2428 Merrick Rd
City
Bellmore
State
New York
Zip
11710-5704
Phone Number
516-379-2689
Fax Number
516-867-3880
person
Provider Business Mailing Address Details
Address
2428 Merrick Rd
City
Bellmore
State
New York
Zip
11710-5704
Phone Number
516-379-2689
Fax Number
516-867-3880
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
159205 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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