Individual
VEERENDRA V. DURGAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 RALPH PL, SUITE 217, STATEN ISLAND, NY 10304-4419
(718) 720-0224
(718) 390-0485
Mailing address
45 CHIPPERFIELD CT, STATEN ISLAND, NY 10301-4568
(718) 720-4130
(718) 390-0485
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
186658
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01430139
—
NY
Enumeration date
07/17/2006
Last updated
07/08/2007
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