1. Home
  2. Directory
  3. New York
  4. Staten Island
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

SAI SHANMUKHA SREERA PANNALA M.D.
NPI 1013603141
Student in an Organized Health Care Education/Training Program in Staten Island, NY

Active since April 12, 2023
475, SEAVIEW AVENUE, DEPARTMENT OF MEDINCE, STATEN ISLAND, NY 10305(718) 226-8313 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2023, Apr 12, 2023 (2 updates tracked since 2023).

About Sai Shanmukha Sreera Pannala M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAI SHANMUKHA SREERA PANNALA M.D. (NPI 1013603141) is an individual student in an organized health care education/training program in Staten Island, New York and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1013603141
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAI SHANMUKHA SREERA PANNALACredential: M.D.
Location Address475, SEAVIEW AVENUE, DEPARTMENT OF MEDINCEStaten Island, NY 10305
Mailing Address475, Seaview Avenue, Department Of MedinceStaten Island, NY 10305 · (718) 226-8313
Phone(718) 226-8313
Sole ProprietorNo
Enumeration DateApril 12, 2023
Last NPPES UpdateOctober 11, 20232 updates tracked since enumeration
NPPES CertifiedApril 12, 2023
✔ NPI 1013603141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
475, SEAVIEW AVENUE, Staten Island, NY 10305
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sai Shanmukha Sreera Pannala's NPI number?

The NPI number for Sai Shanmukha Sreera Pannala is 1013603141. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Where is Sai Shanmukha Sreera Pannala located?

Sai Shanmukha Sreera Pannala practices at 475, Seaview Avenue Department Of Medince, Staten Island, NY 10305. The listed phone number is (718) 226-8313.

What is Sai Shanmukha Sreera Pannala's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Sai Shanmukha Sreera Pannala was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.