Organization
ALPHA WELLCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MODDY KILUVIA (CEO)
(917) 353-1985
Entity
Organization
Contact information
Practice address
330 E 38TH ST APT 9L, NEW YORK, NY 10016-2765
(917) 916-6419
Mailing address
330 E 38TH ST APT 9L, NEW YORK, NY 10016-2765
(917) 353-1985
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922073261
NPI
—
Enumeration date
02/14/2022
Last updated
02/14/2022
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