Individual provider · Type 1 NPI

Sudha Kuncham, MD

Specialist · Patchogue, NY

NPI number 1164501185 Active

Practice location

155 E Woodside Ave
Patchogue, NY 11772-1421

Call (631) 758-6565 Map

Fax (631) 758-6568

Mailing address

2428 Merrick Rd
Bellmore, NY 11710-5704

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X159205 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1164501185

Sudha Kuncham, MD's National Provider Identifier is 1164501185, issued on Nov 2, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Patchogue, NY. The record was last updated on May 8, 2026.