Individual
DR. SHRUTHIMA THANGADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-8648
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-8648
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
270442
NY
390200000X
Student in an Organized Health Care Education/Training Program
MT200758
PA
Other
Enumeration date
04/15/2008
Last updated
10/20/2013
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