Healthcare Provider Details

I. General information

NPI: 1982806410
Provider Name (Legal Business Name): SUNAY RAVINDRA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2007
Last Update Date: 07/26/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 E 17TH ST
NEW YORK NY
10003-3801
US

IV. Provider business mailing address

444 NE 7TH ST APT 1100N
FORT LAUDERDALE FL
33304-2793
US

V. Phone/Fax

Practice location:
  • Phone: 212-598-6000
  • Fax:
Mailing address:
  • Phone: 917-455-8532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number290325-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: