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

Individual provider Internal Medicine Physician · NPI 1235234543

Dr. Subbaraju Polepalli, MD is an Internal Medicine Physician in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
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

741 Jewett Ave
Staten Island, NY 10314-2809
Phone: (718) 816-8056
Fax: (718) 817-8475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 136280 (NY)

Record details

NPI number1235234543
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 13, 2006
Last updated in NPPESSeptember 23, 2012

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