Individual
DR. PRADEEPKUMAR CHARLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
62 EMPIRE BLVD, ROCHESTER, NY 14609-4356
(585) 565-2341
(949) 779-3303
Mailing address
62 EMPIRE BLVD, ROCHESTER, NY 14609-4356
(585) 565-2341
(949) 779-3303
Taxonomy
Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
316270
NY
207RC0000X
Cardiovascular Disease Physician
35.133440
OH
2080P0202X
Pediatric Cardiology Physician
Primary
316270
NY
2080P0202X
Pediatric Cardiology Physician
35.133440
OH
Other
Enumeration date
01/28/2011
Last updated
04/09/2026
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