Individual
ASIKADU R VISWANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MMG - CO-OP CITY, 115 DREISER LOOP, BRONX, NY 10475
(718) 320-6300
Mailing address
50 PONDVIEW RD, RYE, NY 10580-1551
(718) 320-6300
(718) 379-1688
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
130920
NY
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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