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NPI Code Detail

MEDICARE: SARUSAN KIRUPAMOORTHY MD

MEDICARE: SARUSAN KIRUPAMOORTHY MD
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
1390200000XStudent in an Organized Health Care Education/Training ProgramNY

General Provider Information

NPI Number : 1457295768
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARUSAN KIRUPAMOORTHY MD
Provider Business Mailing Address
First Line : 70 DUBOIS ST
Second Line :
City : NEWBURGH
State : NY
Zip : 12550-4851
Country : US
Telephone Number : 845-568-2062
Fax Number : 845-568-2614
Provider Business Practice Location Address
First Line : 70 DUBOIS ST
Second Line :
City : NEWBURGH
State : NY
Zip : 12550-4851
Country : US
Telephone Number : 845-568-2062
Fax Number : 845-568-2614
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2026
Last Update Date : 04/23/2026

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