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

Individual provider Vascular Surgery Physician · NPI 1306947783

Krishnasamy Soundararajan, MD is a Vascular Surgery in New York, New York. Qualified in 1988, 38 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 2,791-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
38
Licensed in
PA
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

1190 5th Ave GP1 1st Fl
New York, NY 10029
Phone: (212) 241-5603
Fax: (212) 987-9310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • One Medical Center Blvd, Upland, PA 19013-3902 — (610) 499-0400

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence MD061319L (PA)

Record details

NPI number1306947783
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 26, 2006
Last updated in NPPESOctober 25, 2017

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Also practisesGENERAL SURGERY
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 2791 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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