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

Pujitha Kudaravalli

Individual provider Gastroenterology Physician · NPI 1851889893

Pujitha Kudaravalli is a Gastroenterology in Syracuse, New York. Qualified in 2016, 10 years ago. Practices with Lahey Clinic Inc, a 1,372-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
10
Licensed in
MA
In the registry since
2018
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Practice location Address checks out

750 E Adams St
Syracuse, NY 13210-2306
Phone: (315) 464-5240
Fax: (315) 464-3751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 41 Mall Rd, Burlington, MA 01805-2306 — (781) 744-8085

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 1019917 (MA)

Record details

NPI number1851889893
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 25, 2018
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024
Mailing address750 E Adams St, Syracuse, NY 13210-2306

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Lahey Clinic Inc — 1372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Syracuse