Individual
MR. DAS B MADALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 PENN PLZ, PENN STATION AMTRAK LEVEL, NEW YORK, NY 10121-0101
(212) 760-8107
Mailing address
2 PENN PLZ, PENN STATION AMTRAK LEVEL, NEW YORK, NY 10121-0101
(212) 760-8107
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
032429
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01308621
—
NY
Enumeration date
12/09/2007
Last updated
12/09/2007
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