Individual
DR. NILI GUJADHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9 LIVINGSTON ST, SUITE 4N, POUGHKEEPSIE, NY 12601
(845) 471-0232
Mailing address
21 READE PL STE 1100, POUGHKEEPSIE, NY 12601-3986
(845) 474-0556
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
223139
NY
207RI0200X
Infectious Disease Physician
Primary
223139
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02208400
—
NY
Enumeration date
01/27/2006
Last updated
07/24/2018
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