Individual
MADHUKAR BHOOMIREDDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
169 RIVERSIDE DR, SUITE 300, BINGHAMTON, NY 13905-4246
(607) 798-5671
(607) 798-5093
Mailing address
169 RIVERSIDE DR, SUITE 300, BINGHAMTON, NY 13905-4246
(607) 798-5671
(607) 798-5093
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
238050
NY
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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