Kosuri, Sujatha

Kosuri, Sujatha is an sole proprietor health care provider with primary practice located at 2201 Hempstead Tpke , East Meadow NY 11554-1859. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kosuri, Sujatha can be contacted via phone (516) 572-6177.

Contact Information

Primary practice address
2201 Hempstead Tpke East Meadow NY 11554-1859
Fax: (516) 572-5483
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 140431 New York

Profile Details

NPI number 1073574463
LBN Legal business name Kosuri, Sujatha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2006
Last updated Apr 10th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073574463 NPPES
New York MEDICAID 01229125

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