YUDHISTIRA PERSAUD MD NPI 1124201322

NPI Information

  • NPI: 1124201322
  • Provider Name: YUDHISTIRA PERSAUD, MD
  • Classification: Allergy & Immunology - 207KA0200X
  • Specialization: Allergy
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1276 FULTON AVE
    BRONX, NY
    ZIP 10456
  • Phone: (718) 590-1800

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NPI Details

Yudhistira Persaud, MD is an allergy allergy immunology in Bronx, NY with 24 years of experience. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee Yudhistira Persaud, MD NPI is 1124201322. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year:2001

The provider's business location address is:

1276 FULTON AVE
BRONX, NY
ZIP 10456-402
Phone: (718) 590-1800
Fax: (718) 518-5124

The NPI 1124201322 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/11/2007 and was last updated on 12/11/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207KA0200XAllergy & ImmunologyAllergy231667NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1231667OTHERNEW YORKSTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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