Individual
PRATIMA KUNCHALA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 NORTHERN BLVD, ALBANY, NY 12204-1004
(518) 471-3246
Mailing address
PO BOX 884, LATHAM, NY 12110-0884
(518) 786-1296
(518) 786-1293
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
147348
NY
Other
Enumeration date
10/21/2005
Last updated
07/08/2007
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