Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vandana Padmaraju

Individual provider Physician Assistant · NPI 1609764034

Vandana Padmaraju is a Physician Assistant in New York, New York. Graduated from Wake Forest University School of Medicine in 2025, 1 year ago. Licensed in New York.

Years since qualifying
1
Trained at
Wake Forest University School of Medicine
Licensed in
NY
In the registry since
2025

Practice location Address checks out

1000 10th Ave
New York, NY 10019-1147
Phone: (212) 523-6800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1609764034 (NY)

Record details

NPI number1609764034
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 25, 2025
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Other providers in New York