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NPI Code Detail

MEDICARE: SUNITHA POLEPALLE M.D.

MEDICARE:   SUNITHA  POLEPALLE  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist19889963NY

General Provider Information

NPI Number : 1073613246
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUNITHA POLEPALLE M.D.
Provider Business Mailing Address
First Line : 3 SHIPWATCH DR
Second Line :
City : NEWBURGH
State : NY
Zip : 12550-1342
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 21 N PLANK RD
Second Line :
City : NEWBURGH
State : NY
Zip : 12550-2128
Country : US
Telephone Number : 845-565-5943
Fax Number : 845-234-4556
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 12/08/2025

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Directions to “ SUNITHA POLEPALLE M.D.” Practice Location

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