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Contact Information

SUDHA KUNCHAM, MD
155 E WOODSIDE AVE
PATCHOGUE, NY11772-1421
 Phone: 631-758-6565
 Fax: 631-758-6568
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for SUDHA KUNCHAM · (Female)

NPI # 1164501185
Status Active
Credentials MD
Entity Individual
Enumeration date 11/02/2006
Last updated 05/08/2026 - About a month ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 159205
  • NY Other 84D771 MEDICARE ID#
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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