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

Sudha R Patnaik, MD

Individual provider General Practice Physician · NPI 1679509855

Sudha R Patnaik, MD is a Family Practice in Philadelphia, Pennsylvania. Qualified in 1967, 59 years ago. Practices with Excel Medical Center, a 21-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
59
Licensed in
PA
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

7131 Rising Sun Ave
Philadelphia, PA 19111-3924
Phone: (215) 821-2305
Fax: (215) 220-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3001 Walnut St, Philadelphia, PA 19104-3414 — (215) 386-3556
  • 7515 Stenton Ave, Philadelphia, PA 19150-3710 — (267) 335-5273

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence MD038790L (PA)

Record details

NPI number1679509855
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2006
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1967 (59 years in practice)
Group practice Excel Medical Center — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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