Individual
DR. LEELAVATHI KASTURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
126 GREENPOINT AVE, BROOKLYN, NY 11222-2202
(718) 389-0100
Mailing address
6945 108TH ST, APT. 4H, FOREST HILLS, NY 11375-3850
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
182286
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01842093
—
NY
Enumeration date
09/28/2006
Last updated
07/08/2007
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