Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mrudula Premkumar, MD

Individual provider Pediatrics Physician · NPI 1225583180

Dr. Mrudula Premkumar, MD is a Pediatrics Physician in Nyack, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

160 N Midland Ave
Nyack, NY 10960-1912
Phone: (973) 615-6662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 299538 (NY)

Record details

NPI number1225583180
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 22, 2016
Last updated in NPPESFebruary 14, 2020
Certification dateFebruary 14, 2020
Mailing address61 Davis Ave Apt Q, White Plains, NY 10605-1009

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