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Organization

JANAKI KANUMILLI, MD P.C.

Active
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Organization

JANAKI KANUMILLI, MD P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JANAKI KANUMILLI MD (PRESIDENT)
(718) 268-1458
Entity
Organization

Contact information

Practice address
11050 71ST RD, SUITE 1B, FOREST HILLS, NY 11375-4969
(718) 268-1458
(718) 897-1926
Mailing address
11050 71ST RD, SUITE 1B, FOREST HILLS, NY 11375-4969
(718) 268-1458
(718) 897-1926

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
222149
NY

Other

Enumeration date
06/23/2011
Last updated
06/23/2011
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