Healthcare Provider Details

I. General information

NPI: 1487393070
Provider Name (Legal Business Name): SAUGAT DEVKOTA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2022
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 PORT RICHMOND AVE
STATEN ISLAND NY
10302-1701
US

IV. Provider business mailing address

1901 FIRST AVENUE, 15TH FLOOR, MAIN BUILDING,15B, 15-1B
MANHATTAN NY
10029
US

V. Phone/Fax

Practice location:
  • Phone: 718-876-1732
  • Fax:
Mailing address:
  • Phone: 212-423-6271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number337599-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: