SANDHYAA SUDHA IYENGAR (NPI# 1770926206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770926206 |
| Entity Type | Individual |
| Full Name | SANDHYAA SUDHA IYENGAR |
| Credential | M.D. |
| Practice Address |
3550 Market St Philadelphia PA 19104-3329 |
| Mailing Address |
100 E Penn Sq Fl 9 Philadelphia PA 19107-3377 |
| Practice Telephone | 2155907500 |
| Mailing Telephone | 2674259412 |
| Mailing Fax Number | 2674259299 |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2019-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
MD458534 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
3550 MARKET ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-3329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932182300 | Andrea Rene Bailer | Nurse Practitioner | 3550 Market St, 4th Floor Adolescent Care Center, Philadelphia, PA 19104-3329 | 2005-11-21 |
| 1295371961 | Erica Rand | Social Worker | 3550 Market St, Philadelphia, PA 19104-3329 | 2019-11-18 |
| 1306481262 | Julianne Larner | Case Manager/Care Coordinator | 3550 Market St, Philadelphia, PA 19104-3329 | 2019-11-14 |
| 1760953160 | On Demand Urgent Care Group PC | Clinic/Center | 3550 Market St, Philadelphia, PA 19104-3329 | 2018-12-10 |
| 1205290970 | Tcm Adolescent Initiative and Family Care Center | Social Worker | 3550 Market St, 5th Floor, Philadelphia, PA 19104-3329 | 2016-04-08 |
| 1851680888 | Gita Ram | Allergy & Immunology | 3550 Market St, Chop Care Network @ Market St - Allergy & Immunology, Philadelphia, PA 19104-3329 | 2011-03-30 |
| 1295051654 | Carissa Rose Jackel | Pediatrics | 3550 Market St, Philadelphia, PA 19104 | 2010-04-10 |
| 1497077440 | Megan Ott Lewis | Nurse Practitioner | 3550 Market St, Rm 30249, Philadelphia, PA 19104-3329 | 2010-02-18 |
| 1932430063 | Susan Bakewell Sachs | Registered Nurse | 3550 Market St, Philadelphia, PA 19104-3329 | 2010-01-29 |
| 1831428093 | Carrie Lynn Calabrese | Nurse Practitioner | 3550 Market St, 4th Floor - Adolescent Care Center, Philadelphia, PA 19104-3329 | 2009-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466913 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-10-27 |
| 1144852567 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-02-05 |
| 1649831736 | Samar Hamdan | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2019-06-28 |
| 1003349838 | Rosalind Usher | Pediatrics | 3401 Civic Center Blvd, Division of Developmental and Behavioral Pediatrics, Philadelphia, PA 19104-4319 | 2017-04-08 |
| 1780048405 | Elizabeth Van De Graaf Janofsky | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104 | 2016-04-08 |
| 1538553060 | Kathryn Nicole Hurst | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104 | 2015-03-23 |
| 1073659272 | Shyamali V Godbole | Pediatrics | 5501 Old York Rd, Levy 2 West, Philadelphia, PA 19141-3018 | 2007-01-29 |
| 1548355597 | Childrens Health Care Associates, Inc | Pediatrics | 3401 Civic Center Blvd, Children's Hospital of Philadelphia, Philadelphia, PA 19104-4319 | 2006-10-04 |
| 1558325589 | Maureen A. Fee | Pediatrics | 3601 A St, St. Christopher's Hospital for Children, Philadelphia, PA 19134-1043 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811506884 | Janet J. Trychin | Pediatrics | 212 Cambridge Rd, Erie, PA 16511-1504 | 2020-07-27 |
| 1467924381 | Developmental Integrative Pediatrics | Pediatrics | 60 Abele Rd Ste 1105a, Bridgeville, PA 15017-3467 | 2018-12-18 |
| 1528565165 | Paula Sarteschi | Pediatrics | 2209 Quarry Dr Ste B23, Reading, PA 19609-1153 | 2018-04-10 |
| 1760614002 | Kristen Ann Bransby | Pediatrics | 2985 Tiffany Dr, Lititz, PA 17543-8306 | 2009-08-20 |
| 1902925589 | Craig Bradford Liden | Pediatrics | 4156 Kenneth Dr, Gibsonia, PA 15044-5324 | 2007-03-28 |
| 1093890238 | David N Sharlin | Pediatrics | 55 Betts Drive, Washington Crossing, PA 18977-1356 | 2006-10-26 |
| 1700829348 | Anila George Jacob | Pediatrics | 3420 Fifth Avenue, Room 236, Pittsburgh, PA 15213 | 2006-06-13 |
| 1952377509 | Yvette M Janvier | Pediatrics | 1611 Pond Rd Ste 400, Allentown, PA 18104-2258 | 2006-02-24 |
| 1104464742 | Stc Pediatrics LLC | Pediatrics | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-12-13 |
| 1023656949 | Stc Pediatrics LLC | Pediatrics | 1030 2nd Street Pike, Southampton, PA 18966-3955 | 2019-12-11 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.