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MRS. SUDHARANI SUBBA KOTHA MD
NPI 1316028590
Pediatrics in Jamaica, NY

Active since October 17, 2006
11811 GUY R BREWER BLVD, JAMAICA, NY 11434(718) 945-7150(877) 806-9291 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Sudharani Subba Kotha Md NPPES

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

MRS. SUDHARANI SUBBA KOTHA MD (NPI 1316028590) is an individual pediatrics provider in Jamaica, New York, licensed in New York (207757) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1316028590
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMRS. SUDHARANI SUBBA KOTHACredential: MD
Location Address11811 GUY R BREWER BLVDJamaica, NY 11434-2101
Mailing Address11811 Guy R Brewer BlvdJamaica, NY 11434-2101 · (718) 945-7150 · Fax (877) 806-9291
Phone(718) 945-7150
Fax(877) 806-9291
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateNovember 20, 2025
NPPES CertifiedNovember 20, 2025
✔ NPI 1316028590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 207757
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
11811 GUY R BREWER BLVD, Jamaica, NY 11434
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Other Names 1

Former Name (1)Mrs. Kotha Subba Sudharani Md

Other Identifiers 1

Medicaid01847841NY

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARIA DOLORES RODRIGUEZ M.D.
Family Medicine
11811 GUY R BREWER BLVD
JAMAICA, NY 11434
Queens County (718) 945-7150
DR. IZUKA P UDOM-RICE MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
11811 GUY R BREWER BLVD
JAMAICA, NY 11434
Queens County (718) 945-7150
JOSEPH P. ADDABBO FAMILY HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
11811 GUY R BREWER BLVD
JAMAICA, NY 11434
Queens County (718) 945-7150

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 Sudharani Kotha's NPI number?

The NPI number for Sudharani Kotha is 1316028590. It was assigned to this individual provider in the NPPES registry on October 17, 2006. The provider is also known as Mrs. Kotha Subba Sudharani MD.

Where is Sudharani Kotha located?

Sudharani Kotha practices at 11811 Guy R Brewer Blvd, Jamaica, NY 11434. The listed phone number is (718) 945-7150.

What is Sudharani Kotha's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Sudharani Kotha was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.