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

Shailaja Potdar, MD

Individual provider Pediatrics Physician · NPI 1992714117

Shailaja Potdar, MD is a Pediatric Medicine in Syracuse, New York. Qualified in 1976, 50 years ago. Licensed in New York.

Years since qualifying
50
Licensed in
NY
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

311 Green St
Syracuse, NY 13203-2911
Phone: (315) 425-1431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 196775 (NY)

Record details

NPI number1992714117
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 5, 2006
Last updated in NPPESApril 27, 2021
Certification dateApril 27, 2021
Mailing address311 Green St, Syracuse, NY 13203-2911

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1976 (50 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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