Individual provider · Type 1 NPI

Suchitraa Bandaru, PA-C

Physician Assistant · Newburgh, IN

NPI number 1639077662 Active

Practice location

10788 Stahl Rd
Newburgh, IN 47630-7452

Call (888) 337-6722 Map

Other practice locations

  • 2821 New Hartford Rd, Owensboro, KY 42303-1320 · (888) 337-6722

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10005550A (IN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1639077662

Suchitraa Bandaru, PA-C's National Provider Identifier is 1639077662, issued on Oct 29, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Newburgh, IN. The record was last updated on Oct 29, 2026.