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Individual
DR. SUJATHA ADDAGATLA
Active
Individual
DR. SUJATHA ADDAGATLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
190795
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010348704
UNIVERA
NY
01
—
000524501007
BLUE CROSS BLUE SHIELD
NY
05
—
01630735
—
NY
01
—
163410BZ
PREFERRED CARE
NY
01
—
2509942
INDEPENDENT HEALTH
NY
01
—
2593770
GHI PPO & NETWORK
NY
01
—
390008664
M EDICARE RAILROAD
NY
01
—
78433
GHI HMO
NY
Enumeration date
10/17/2006
Last updated
07/08/2007
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