Individual
DR. CHAITHANYA KRISHNA PAMIDIMUKALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
315 S MANNING BLVD, SPH HOSPITALIST DEPT, ALBANY, NY 12208-1707
(518) 525-1550
Mailing address
243 S ALLEN STREET, ALBANY, NY 12208
(551) 689-3769
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
285894
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04534185
—
NY
Enumeration date
07/11/2013
Last updated
06/04/2021
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