Individual
JYOTHI H RANGADHAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
81 RONALD REAGAN BLVD, WARWICK, NY 10990-4105
(845) 794-6999
(845) 703-6297
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4057
(845) 703-6999
(845) 703-6297
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
25MA10228300
NJ
207V00000X
Obstetrics & Gynecology Physician
Primary
267768
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03583539
—
NY
Enumeration date
01/03/2011
Last updated
07/06/2022
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