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DR. SUDHA KOPPAKA M.D.
NPI 1790057941
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since February 03, 2012
3411 WAYNE AVE, ENDOCRINOLOGY SUIT G, 1ST FLOOR, BRONX, NY 10467(718) 920-2017(718) 920-5202 Get Directions Write a Review

NPPES record last updated: February 3, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sudha Koppaka M.d. NPPES

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

DR. SUDHA KOPPAKA M.D. (NPI 1790057941) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1790057941
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. SUDHA KOPPAKACredential: M.D.
Location Address3411 WAYNE AVE, ENDOCRINOLOGY SUIT G, 1ST FLOORBronx, NY 10467-2509
Mailing Address3411 Wayne Ave, Endocrinology Suit G, 1st FloorBronx, NY 10467-2509
Phone(718) 920-2017
Fax(718) 920-5202
Sole ProprietorNo
Enumeration DateFebruary 3, 2012
✔ NPI 1790057941 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.
3411 WAYNE AVE, Bronx, NY 10467
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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.

DR. RONALD C SAMUELS MD, MPH
Pediatrics
3411 WAYNE AVE
BRONX, NY 10467
Bronx County (718) 741-2507
SWATI GOEL MD
Internal Medicine (Hematology & Oncology)
3411 WAYNE AVE, HEMATOLOGY SUITE, GROUND FLOOR
BRONX, NY 10467
Bronx County (718) 920-6310
CHIOMA NDUKWE MD
Internal Medicine (Infectious Disease)
3411 WAYNE AVE
BRONX, NY 10467
Bronx County (941) 290-0720
BIBI AYESHA M.D
Internal Medicine
3411 WAYNE AVE
BRONX, NY 10467
Bronx County (718) 405-8360
DR. MINA DAOUD AZIZ MD
Dermatology
3411 WAYNE AVE
BRONX, NY 10467
Bronx County (718) 920-2680
KRYSTINA THERESE MATHELIER ANP-BC
Nurse Practitioner (Adult Health)
3411 WAYNE AVE
BRONX, NY 10467
Bronx County (718) 920-6310
AMY FRANCES DOWD N.P., R.D.
Nurse Practitioner (Pediatrics)
3411 WAYNE AVE, 4TH FLOOR
BRONX, NY 10467
Bronx County (718) 920-4664
SOPHIA LEE
Nurse Practitioner (Family)
3411 WAYNE AVE
BRONX, NY 10467
Bronx County (718) 920-6310

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 Sudha Koppaka's NPI number?

The NPI number for Sudha Koppaka is 1790057941. It was assigned to this individual provider in the NPPES registry on February 3, 2012.

Where is Sudha Koppaka located?

Sudha Koppaka practices at 3411 Wayne Ave Endocrinology Suit G, 1st Floor, Bronx, NY 10467. The listed phone number is (718) 920-2017.

What is Sudha Koppaka'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 Sudha Koppaka was last updated on February 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.