# JANAKI KANUMILLI, MD P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255627725
- **Authorized official:** MRS. JANAKI KANUMILLI MD (PRESIDENT)
- **Authorized official phone:** (718) 268-1458

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 222149 | NY | Yes |

## Other

- **Enumeration date:** 06/23/2011
- **Last updated:** 06/23/2011