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

Mr. Sandeep Rao Bhashyam, MD

Individual provider Internal Medicine Physician · NPI 1174767420

Mr. Sandeep Rao Bhashyam, MD is an Internal Medicine in Stony Brook, New York. Graduated from State University of New York at Buffalo School of Medicine in 2009, 17 years ago. Practices with Liberty Resources Inc, a 74-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
NY
In the registry since
2009
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

101 Nicolls Road Hsc T16-020
Stony Brook, NY 11794-8160
Phone: (631) 444-8478
Fax: (631) 444-7546
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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 2348651 (NY)

Record details

NPI number1174767420
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 29, 2009
Last updated in NPPESOctober 17, 2012

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Liberty Resources Inc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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