Individual
PADMAJA MADALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
920 LARK DR, ALBANY, NY 12207-1300
(518) 561-4458
(518) 242-4784
Mailing address
920 LARK DR, ALBANY, NY 12207-1300
(518) 591-4458
(518) 242-4784
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
246088
NY
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
246088
NY
Other
Enumeration date
10/01/2007
Last updated
11/18/2020
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