SUPARNA DANDAMUDI PATCHA M.B.B.S
NPI 1689724643
Pediatrics in New York, NY

Active since January 11, 2007
315 W 57TH ST STE 404, NEW YORK, NY 10019(888) 603-0993 Get Directions Write a Review

NPPES record last updated: October 28, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Pediatrics

About SUPARNA DANDAMUDI PATCHA

This page provides the complete NPI Profile along with additional information for Suparna Dandamudi Patcha, a pediatrician established in New York, New York with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1689724643 assigned on January 2007. The practitioner's primary taxonomy code is 208000000X with license number 298886-1 (NY). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1689724643 Verify this NPI
Provider Name
SUPARNA DANDAMUDI PATCHA M.B.B.S
Other Name
SUPARNA PATCHA
Other Name Type
Professional Name (2)
Gender
Female
Entity Type
Individual
Location Address
315 W 57TH ST STE 404 NEW YORK, NY 10019
Location Phone
(888) 603-0993
Mailing Address
330 W 58TH ST STE 414 NEW YORK, NY 10019
Mailing Phone
(888) 603-9338
Mailing Fax
(212) 624-0213
Is Sole Proprietor?
No
Enumeration Date
01-11-2007
Last Update Date
10-28-2019
Code Navigator

A pediatrician like Suparna Dandamudi Patcha is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Secondary Locations

  • 450, East Kennedy Blvd
    Lakewood, NJ 08701
    (732) 901-0050
  • 302 E 72nd St
    New York, NY 10021
    (888) 603-0993

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
298886-1
License State
NY
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

MA066981 (NJ)

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pediatrics
315 W 57TH ST STE 404
NEW YORK, NY 10019

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689724643, enumerated as an "individual" on January 11, 2007.

The provider is located at 315 W 57TH ST STE 404 NEW YORK, NY 10019 and the phone number is (888) 603-0993.

Pediatrics with taxonomy code 208000000X.