Subject Numbers Regarding Health Provider Authorizations

Authorization No. 301592-2B

February 14, 2024

Please be advised that Dr. Mukund Komanduri (hereinafter, "the provider") has resigned their authorizations to treat injured workers and to perform independent medical examinations in the New York State workers' compensation system effective February 13, 2024. The provider's last known practice addresses are:

745 Ocean Parkway
Brooklyn, New York 11230

11360 Broadway
Crown Point, Indiana 46307

The provider is prohibited from rendering treatment and care to injured workers, and from conducting reviews of records regarding variance requests pursuant to 12 New York Codes, Rules and Regulations § 324.3(b)(2)(ii)(a). Reports submitted by the provider for services rendered prior to February 13, 2024, are valid but are invalid for any services rendered on or after that date. Requests to cross-examine the provider for services rendered prior to February 13, 2024, should not be denied due to their resignation.

Any questions regarding the authorized lists should be referred to the Medical Director's Office at 1 (800) 781-2362.