Provider Demographics
NPI:1417973892
Name:UBEROI, SUNANDA (MD)
Entity Type:Individual
Prefix:DR
First Name:SUNANDA
Middle Name:
Last Name:UBEROI
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 1:831 CORAL RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-4180
Mailing Address - Country:US
Mailing Address - Phone:954-248-3422
Mailing Address - Fax:800-970-6020
Practice Address - Street 1:1020 W OAK ST
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4113
Practice Address - Country:US
Practice Address - Phone:407-870-1579
Practice Address - Fax:407-870-2353
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME142162207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAU030OtherREGENCE
WA7095144Medicaid
WA7095144Medicaid
WAAB08495Medicare ID - Type Unspecified