# SUSHIL SADANAND VALAVALKAR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1518939214
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | M9068 | TX | — |
| 208000000X | Pediatrics Physician | 36421 | KY | — |
| 208000000X | Pediatrics Physician | M9068 | TX | Yes |
| 208000000X | Pediatrics Physician | ME99888 | FL | — |

## Other

- **Enumeration date:** 02/06/2006
- **Last updated:** 06/12/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 220206101 | — | TX |
| 05 | — | 64033608 | — | KY |
| 05 | — | 65936304 | — | KY |