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MR. PAVAN THEJA VADDERA M.D
NPI 1093662710
Student in an Organized Health Care Education/Training Program in New York, NY

Active since March 12, 2026
ONE GUSTAVE L. LEVY PLACE, BOX 1030 MOUNT SINAI HOSPITA, NEW YORK, NY 10029(212) 241-3419 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Pavan Theja Vaddera M.d NPPES

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

MR. PAVAN THEJA VADDERA M.D (NPI 1093662710) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1093662710
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. PAVAN THEJA VADDERACredential: M.D
Location AddressONE GUSTAVE L. LEVY PLACE, BOX 1030 MOUNT SINAI HOSPITANew York, NY 10029
Mailing AddressOne Gustave L. Levy Place, Box 1030 Mount Sinai HospitaNew York, NY 10029
Phone(212) 241-3419
Sole ProprietorNo
Enumeration DateMarch 12, 2026
✔ NPI 1093662710 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.
ONE GUSTAVE L. LEVY PLACE, BOX 1030 MOUNT SINAI HOSPITA, New York, NY 10029
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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 Pavan Vaddera's NPI number?

The NPI number for Pavan Vaddera is 1093662710. It was assigned to this individual provider in the NPPES registry on March 12, 2026.

Where is Pavan Vaddera located?

Pavan Vaddera practices at One Gustave L. Levy Place, Box 1030 Mount Sinai Hospita, New York, NY 10029. The listed phone number is (212) 241-3419.

What is Pavan Vaddera'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 Pavan Vaddera was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.