Provider Demographics
NPI:1508810664
Name:SANNESY, UMAKANTHA E (MD)
Entity Type:Individual
Prefix:DR
First Name:UMAKANTHA
Middle Name:E
Last Name:SANNESY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 RIDGEVIEW TER
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-5311
Mailing Address - Country:US
Mailing Address - Phone:845-294-2749
Mailing Address - Fax:845-341-2580
Practice Address - Street 1:117 SEWARD AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-1903
Practice Address - Country:US
Practice Address - Phone:845-341-2525
Practice Address - Fax:845-341-2580
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1762481207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine