Provider Demographics
NPI:1265486468
Name:PINAPATI, SUHASINI DEVI (MD)
Entity Type:Individual
Prefix:DR
First Name:SUHASINI
Middle Name:DEVI
Last Name:PINAPATI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ALTON RD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-4201
Mailing Address - Country:US
Mailing Address - Phone:518-456-0428
Mailing Address - Fax:518-456-0471
Practice Address - Street 1:1 ALTON RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-4201
Practice Address - Country:US
Practice Address - Phone:518-456-0428
Practice Address - Fax:518-456-0471
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY140975-1208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00780025Medicaid