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ILA SUKHADIA MEDICAL P.C. NPI 1942461967


NPI Information

NPI: 1942461967
Provider Name: ILA SUKHADIA, MEDICAL, P.C.

Former Legal Business Name: JITENDRA SUKHADIA, M.D.P.C. DBA PROGRESSIVE PEDIATRICS

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
1235 ARDEN AVE
STATEN ISLAND, NY
ZIP 10312
Phone: (718) 948-3400
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ILA SUKHADIA, MEDICAL, P.C. is a medical specialty clinic center in Staten Island, NY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). ILA SUKHADIA, MEDICAL, P.C. NPI is 1942461967. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Jitendra Sukhadia, M.d.p.c. Dba Progressive Pediatrics.

The provider's business location address is:

1235 ARDEN AVE
STATEN ISLAND, NY
ZIP 10312-148
Phone: (718) 948-3400
Fax: (718) 966-2560

The provider's authorized official is Ila Jitendra Sukhadia .
The authorized official title is President and has the following contact phone number (718) 948-3400.

The enumeration date for this NPI number is 6/23/2008 and was last updated on 8/6/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical Specialty249019NEW YORKYes

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: 4/28/2024

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