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DR. SUMATHA CHANNAPATNA SURESH MD
NPI 1336712041
Student in an Organized Health Care Education/Training Program in Fresh Meadows, NY

Active since July 20, 2021
17660 UNION TPKE STE 350, FRESH MEADOWS, NY 11366(718) 521-6200 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sumatha Channapatna Suresh Md NPPES

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

DR. SUMATHA CHANNAPATNA SURESH MD (NPI 1336712041) is an individual student in an organized health care education/training program in Fresh Meadows, New York and active in the NPI registry since July 2021. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1336712041
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. SUMATHA CHANNAPATNA SURESHCredential: MD
Location Address17660 UNION TPKE STE 350Fresh Meadows, NY 11366-1531
Mailing Address17660 Union TpkeFresh Meadows, NY 11366-1526 · (718) 521-6200
Phone(718) 521-6200
Sole ProprietorNo
Enumeration DateJuly 20, 2021
Last NPPES UpdateJune 23, 2026
NPPES CertifiedJune 23, 2026
✔ NPI 1336712041 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.
17660 UNION TPKE STE 350, Fresh Meadows, NY 11366
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Secondary Practice Locations 2

Location 19525 Queens Blvd Ste ARego Park, NY 11374-4511 · Phone (718) 925-6200
Location 2300 Community DrManhasset, NY 11030-3816 · Phone (516) 562-0100

Other Providers at the Same Location NPPES 4

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

DR. ROM M GUPTA M.D.
Internal Medicine (Gastroenterology)
17660 UNION TPKE STE 350
FRESH MEADOWS, NY 11366
Queens County (718) 521-6200
CHRISTINA JULIANA ROBINSON MD
Family Medicine (Adult Medicine)
17660 UNION TPKE STE 350
FRESH MEADOWS, NY 11366
Queens County (718) 521-6200
KIERA LILIANNE GRASSI DNP
Student in an Organized Health Care Education/Training Program
17660 UNION TPKE STE 350
FRESH MEADOWS, NY 11366
Queens County (718) 521-6200
MICHELLE STEPHANIE SHEYMAN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
17660 UNION TPKE STE 350
FRESH MEADOWS, NY 11366
Queens County (718) 521-6200

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 Sumatha Channapatna Suresh's NPI number?

The NPI number for Sumatha Channapatna Suresh is 1336712041. It was assigned to this individual provider in the NPPES registry on July 20, 2021.

Where is Sumatha Channapatna Suresh located?

Sumatha Channapatna Suresh practices at 17660 Union Tpke Ste 350, Fresh Meadows, NY 11366. The listed phone number is (718) 521-6200.

What is Sumatha Channapatna Suresh'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 Sumatha Channapatna Suresh was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.