Basic Information
| Provider Information | |||||||||
| NPI: | 1629264825 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KANDI | ||||||||
| FirstName: | SUNANDA | ||||||||
| MiddleName: | HANUMANTH | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 212 E 47TH ST APT 30E | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100172120 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8605392390 | ||||||||
| FaxNumber: | 7185794958 | ||||||||
| Practice Location | |||||||||
| Address1: | 170 WILLIAMS STREET | ||||||||
| Address2: | NEW YORK | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10038 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2123125497 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/20/2007 | ||||||||
| LastUpdateDate: | 05/21/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/07/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080N0001X | 274358 | NY | Y | Allopathic & Osteopathic Physicians | Pediatrics | Neonatal-Perinatal Medicine |
No ID Information.