Mamatha Sundaresh
MD | Pediatrics | Female
Mamatha Sundaresh, MD is a Brooklyn, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mamatha Sundaresh is
4802 10th Ave, Brooklyn, New York - 11219-2844. She can be contacted on phone at
718-283-7500 and fax number 718-635-7235.
Mamatha Sundaresh is a sole proprietor of her business.
NPI number (Unique professional ID) for Mamatha Sundaresh is
1629063318 which was assigned by NPPES on 19 Sep, 2005 and it was last updated on 05 Feb, 2013.
Mamatha Sundaresh license number is
190550 for Pediatrics (208000000X) in New York.
Mamatha Sundaresh is a pediatrician who 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.
Complete Profile:
Mamatha Sundaresh basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Mamatha Sundaresh |
|---|
| Credential : | MD |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Mamatha Sundaresh address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4802 10th Ave
Brooklyn, NY, 11219-2844
United States |
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| Phone Number : | 718-283-7500 |
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| Fax Number : | 718-635-7235 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1629063318 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Sep, 2005 |
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| Last Updated On : | 05 Feb, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mamatha Sundaresh are as mentioned. Primary taxonomy code for Mamatha Sundaresh, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 190550 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Mamatha Sundaresh such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 11-3563769 | Other | NY | HORIZON HEALTHCARE NY |
| 300950401 | Other | NY | HEALTH PLUS |
| BK00828-03 | Other | NY | AMERICHOICE |
| P2163738 | Other | NY | OXFORD HEALTH PLANS |
| 2563948 | Other | NY | AETNA USHC HMO |
| 2698609 | Other | NY | GHI |
| 4604933 | Other | NY | AETNA PPO |
| 01480813 | MEDICAID | NY | |
| 190550-F15 | Other | NY | HEALTH FIRST |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 977 48th St
Brooklyn, NY, 11219-2919
United States |
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| Phone Number : | 718-283-8015 |
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| Fax Number : | 718-635-7235 |
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Business Location:
Patients can refer following map for directions to
Mamatha Sundaresh practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.