Individual
RAVIKALA PUTTAMADU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 922-5067
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
271416
NY
282N00000X
General Acute Care Hospital
271416
NY
Other
Enumeration date
08/21/2010
Last updated
05/29/2025
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