Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sundari Vudatala, PA-C

Individual provider Physician Assistant · NPI 1679123145

Sundari Vudatala, PA-C is a Physician Assistant in Columbus, Ohio. Qualified in 2024, 2 years ago. Practices with Osu Internal Medicine LLC, a 1,145-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
2
Licensed in
OH
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

460 W 10th Ave
Columbus, OH 43210-1240
Phone: (614) 293-7499
Fax: (614) 366-2360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 134 Holly Hock Ln, Lewis Center, OH 43035-6123 — (614) 592-2192

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.009098RX (OH)

Record details

NPI number1679123145
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 17, 2019
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Osu Internal Medicine Llc — 1145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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