MEDICARE: MS. KARISHMA NADIA SUKHDEO PA-C

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
1	363AM0700X	Medical Physician Assistant	007456-01	NY

General Provider Information

NPI Number	:	1073826251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KARISHMA NADIA SUKHDEO PA-C

Provider Business Mailing Address
First Line	:	4 BLY CT
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11023-1706
Country	:	US
Telephone Number	:	973-699-4506
Fax Number	:

Provider Business Practice Location Address
First Line	:	486 LINCOLN PL
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11238-6202
Country	:	US
Telephone Number	:	718-773-0883
Fax Number	:	718-773-3728

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2010
Last Update Date	:	09/29/2025

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