Individual
SRUTHI SREEKUMAR PODUVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11835 QUEENS BLVD, FOREST HILLS, NY 11375-7200
(929) 809-0492
Mailing address
11835 QUEENS BLVD, FOREST HILLS, NY 11375-7200
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
336533
NY
Other
Enumeration date
03/30/2020
Last updated
08/08/2025
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