Provider Demographics
NPI:1477576288
Name:VINAY, SUNITHI KRISHNAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SUNITHI
Middle Name:KRISHNAN
Last Name:VINAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:78 TODT HILL ROAD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-7034
Mailing Address - Country:US
Mailing Address - Phone:917-830-0228
Mailing Address - Fax:888-720-0487
Practice Address - Street 1:78 TODT HILL ROAD
Practice Address - Street 2:SUITE 204
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-1031
Practice Address - Country:US
Practice Address - Phone:917-830-0228
Practice Address - Fax:888-720-0487
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY001887207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH99748Medicare UPIN
NY199AC1Medicare ID - Type Unspecified