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

Individual provider Psychiatry Physician · NPI 1790742005

Dr. Sudharam Idupuganti, MD is a Psychiatry in Brooklyn, New York. Qualified in 1974, 52 years ago. Practices as a sole proprietor and offers telehealth. Licensed in New York.

Years since qualifying
52
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

585 Bay Ridge Pkwy
Brooklyn, NY 11209-3309
Phone: (718) 921-1001
Fax: (718) 921-1001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 138851 (NY)

Record details

NPI number1790742005
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 28, 2006
Last updated in NPPESSeptember 30, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1974 (52 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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