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Siva Kolupoti, M.D
NPI 1609809102 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2 Medical Dr
Suite D
Port Jefferson Station, NY 11776 - Phone
- (631) 331-5010
- Fax
- (631) 331-5017
- Organisation at this address
- Winston Dermatology Associates, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Internal Medicine Physician
207R00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York