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

Sunder Shyam Gidumal, MD

Individual provider Otolaryngology/Facial Plastic Surgery Physician · NPI 1285262253

Sunder Shyam Gidumal, MD is an Otolaryngology in Los Angeles, California. Graduated from Icahn School of Medicine at Mount Sinai in 2020, 6 years ago. Practices as a sole proprietor. Licensed in California and New York.

Years since qualifying
6
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
CA, NY
In the registry since
2020
Specialties on file
2
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

200 UCLA Medical Plz Ste 550
Los Angeles, CA 90095-6508
Phone: (310) 206-6688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence A202526 (CA)
Otolaryngology/Facial Plastic Surgery Physician Taxonomy 207YX0905X · Licence 724578891 (NY)

Record details

NPI number1285262253
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 27, 2020
Last updated in NPPESJuly 1, 2025
Certification dateJune 10, 2025

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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