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

Mr. Sreedhar P. Sudnagunta, RPA-C

Individual provider Physician Assistant · NPI 1215191580

Mr. Sreedhar P. Sudnagunta, RPA-C is a Physician Assistant in Mineola, New York. Qualified in 1997, 29 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
29
Licensed in
NY
In the registry since
2008
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Practice location Address checks out

80 E Jericho Tpke Ste 100
Mineola, NY 11501-3140
Phone: (516) 877-2626
Fax: (516) 877-0945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 006568 (NY)

Record details

NPI number1215191580
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedJuly 15, 2008
Last updated in NPPESSeptember 8, 2022
Certification dateSeptember 8, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mineola