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Individual

PRAVEEN RUDRARAJU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
400 EAST MAIN STREET, NORTHERN WESTCHESTER HOSPITAL, CRITICAL CARE, MOUNT KISCO, NY 10549
(914) 666-1200
(914) 666-1978
Mailing address
400 EAST MAIN STREET - NORTHERN WESTCHESTER HOSPITAL, MEDICAL AFFAIRS OFFICE, MT. KISCO, NY 10549
(914) 666-1200
(914) 666-1965

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
247554
NY
207RP1001X
Pulmonary Disease Physician
247554
NY

Other

Enumeration date
02/19/2008
Last updated
02/19/2008
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