Individual
MARUTHI MADHAV SUNKARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 EAST STATE ST.,, MEDICAL ARTS BLDG SUITE 105, GLOVERSVILLE, NY 12078
(518) 775-4234
(518) 775-4271
Mailing address
99 E STATE ST, PO BOX 1250, GLOVERSVILLE, NY 12078-1203
(518) 775-4205
(518) 775-5456
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
241793
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02298671
—
NY
01
—
10127405
CDPHP
NY
01
—
4158884
MVP HEALTHPLAN
NY
Enumeration date
07/13/2007
Last updated
01/22/2015
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