Individual
DR. SUSHMA MEDIKAYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4608 29TH ST, APT 2, MOUNT RAINIER, MD 20712-1312
(914) 413-1496
Mailing address
4608 29TH ST, APT 2, MOUNT RAINIER, MD 20712-1312
(914) 413-1496
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2014-01606
NC
207RN0300X
Nephrology Physician
Primary
2014-01606
NC
Other
Enumeration date
05/25/2012
Last updated
10/20/2022
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