Individual
RAVINDER REDDY CHERUKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10021-1850
(212) 434-2878
Mailing address
327 CRESTHAVEN LN, WHITESTONE, NY 11357-1148
(201) 804-2800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
216098-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02042813
—
NY
Enumeration date
06/23/2005
Last updated
09/12/2018
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