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

Pratyusha Muddaloor, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043903941

Pratyusha Muddaloor, MD is a Student in an Organized Health Care Education/Training Program in Syracuse, New York. Licensed in Pennsylvania. Registered with an NPI since 2023.

Licensed in
PA
In the registry since
2023
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

750 E Adams St
Syracuse, NY 13210
Phone: (315) 464-5774
Fax: (315) 464-5378
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence MT228586 (PA)

Record details

NPI number1043903941
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 29, 2023
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026

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