Individual provider · Type 1 NPI

Sumatha Channapatna Suresh, MD

Student in an Organized Health Care Education/Training Program · Fresh Meadows, NY

NPI number 1336712041 Active

Practice location

17660 Union Tpke Ste 350
Fresh Meadows, NY 11366-1531

Call (718) 521-6200 Map

Mailing address

17660 Union Tpke
Fresh Meadows, NY 11366-1526

Other practice locations

  • 9525 Queens Blvd Ste A, Rego Park, NY 11374-4511 · (718) 925-6200
  • 300 Community Dr, Manhasset, NY 11030-3816 · (516) 562-0100

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4 other providers at this address

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About NPI 1336712041

Sumatha Channapatna Suresh, MD's National Provider Identifier is 1336712041, issued on Jul 20, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fresh Meadows, NY. The record was last updated on Jun 23, 2026.