Organization
JANAKI KANUMILLI, MD P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANAKI KANUMILLI MD (PRESIDENT)
(718) 268-1458
Entity
Organization
Contact information
Practice address
11050 71ST RD, SUITE 1B, FOREST HILLS, NY 11375-4969
(718) 268-1458
(718) 897-1926
Mailing address
11050 71ST RD, SUITE 1B, FOREST HILLS, NY 11375-4969
(718) 268-1458
(718) 897-1926
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
222149
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02362729
—
NY
01
—
P00902325
RAILROAD MEDICARE
NY
Enumeration date
06/23/2011
Last updated
06/23/2011
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