Individual
DURGA MADDINENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4543 43RD ST, SUNNYSIDE, NY 11104-2609
(718) 392-2220
(718) 392-1777
Mailing address
4543 43RD ST, SUNNYSIDE, NY 11104-2609
(718) 392-2220
(718) 392-1777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
227095
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02462119
—
NY
Enumeration date
06/04/2006
Last updated
07/08/2007
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