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

Individual provider Pediatrics Physician · NPI 1689724643

Suparna Dandamudi Patcha, MBBS is a Pediatrics Physician in New York, New York. Works from 3 locations. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
MBBS — Bachelor of Medicine, Bachelor of Surgery
The medical degree awarded in the UK, India and many Commonwealth countries; equivalent to an MD.

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Practice location Address checks out

315 W 57th St Ste 404
New York, NY 10019-3147
Phone: (888) 603-0993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 450, East Kennedy Blvd, Lakewood, NJ 08701 — (732) 901-0050
  • 302 E 72nd St, New York, NY 10021-4772 — (888) 603-0993

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 298886-1 (NY)
Pediatrics Physician Taxonomy 208000000X · Licence MA066981 (NJ)

Record details

NPI number1689724643
Entity typeIndividual (Type 1)
GenderFemale
Credentials MBBS
Sole proprietorNo
NPI enumeratedJanuary 11, 2007
Last updated in NPPESOctober 28, 2019

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