Individual
DR. HARINI KROTTAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2323
(973) 977-9455
Mailing address
11781 LEE JACKSON MEMORIAL HWY, SUITE 550, FAIRFAX, VA 22033-3309
(571) 777-5174
(703) 890-2650
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA74242
NJ
207L00000X
Anesthesiology Physician
Primary
25MA07424200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002534
—
NJ
Enumeration date
07/07/2005
Last updated
12/20/2016
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