DR. ANEESH VIJAY PENUKONDA MD
NPI 1720576879
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since April 24, 2018
450 CLARKSON AVE, BROOKLYN, NY 11203(718) 270-3302 Get Directions Write a Review

NPPES record last updated: May 7, 2018. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: May 7, 2018, Apr 24, 2018 (2 updates tracked since 2018).

About Dr. Aneesh Vijay Penukonda Md NPPES

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

DR. ANEESH VIJAY PENUKONDA MD (NPI 1720576879) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1720576879
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ANEESH VIJAY PENUKONDACredential: MD
Location Address450 CLARKSON AVEBrooklyn, NY 11203-2012
Mailing Address450 Clarkson AveBrooklyn, NY 11203-2012 · (718) 270-3302
Sole ProprietorNo
Enumeration DateApril 24, 2018
Last NPPES UpdateMay 7, 20182 updates tracked since enumeration
✔ NPI 1720576879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
450 CLARKSON AVE, Brooklyn, NY 11203

Other Providers at the Same Location NPPES 20

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

Obstetrics & Gynecology
450 CLARKSON AVE
BROOKLYN, NY 11203
Internal Medicine (Gastroenterology)
450 CLARKSON AVE, SUITE A
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE, SUNY DOWNSTATE MEDICAL CENTER
BROOKLYN, NY 11203
Internal Medicine (Pulmonary Disease)
450 CLARKSON AVE
BROOKLYN, NY 11203
Family Medicine
450 CLARKSON AVE, MSC 67
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203

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 Aneesh Penukonda's NPI number?

The NPI number for Aneesh Penukonda is 1720576879. It was assigned to this individual provider in the NPPES registry on April 24, 2018.

Where is Aneesh Penukonda located?

Aneesh Penukonda practices at 450 Clarkson Ave, Brooklyn, NY 11203. The listed phone number is (718) 270-3302.

What is Aneesh Penukonda'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 Aneesh Penukonda was last updated on May 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.