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Organization
PADMAVATHI JONNALAGADDA MD PA
Active
Organization
PADMAVATHI JONNALAGADDA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PADMAVATHI JONNALAGADDA MD (PRESIDENT)
(201) 420-0366
Entity
Organization
Contact information
Practice address
3438 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07307-4166
(201) 420-0366
(201) 420-6422
Mailing address
3438 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07307-4166
(201) 420-0366
(201) 420-6422
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07442900
NJ
207RN0300X
Nephrology Physician
25MA06324000
NJ
Other
Enumeration date
07/07/2005
Last updated
08/13/2026
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