Individual
SMITHA MELLACHERUVU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 E 210TH ST, HOFFHEIMER 1-- DEPARTMENT OF MEDICAL ONCOLOGY, BRONX, NY 10467-2401
(718) 920-4826
(718) 798-7474
Mailing address
39 GRAND ST, APT.3210, MAMARONECK, NY 10543-1992
(732) 889-1374
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0229985
NY
Other
Enumeration date
11/09/2006
Last updated
10/08/2008
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