Organization
DR. RUDRAMA DUGGIRALA MEDICAL SERVICES,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUDRAMA D DUGGIRALA MD (SOLE PROPRIETER)
(917) 304-7025
Entity
Organization
Contact information
Practice address
90 45 PITKIN AVE, OZONE PARK, NY 11417
(718) 843-7551
(718) 322-2259
Mailing address
15726 16TH RD, WHITESTONE, NY 11357-3226
(917) 304-7025
(718) 322-2259
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
187905
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01536456
—
NY
Enumeration date
01/19/2006
Last updated
01/07/2013
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