Individual
HIMABINDU KASIVAJJULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
639 MAIN STREET, JOHNSON CITY, NY 13790
(607) 770-1988
(607) 770-9086
Mailing address
639 MAIN STREET, JOHNSON CITY, NY 13790
(607) 770-1988
(607) 770-9086
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
273445
NY
Other
Enumeration date
07/08/2010
Last updated
03/09/2016
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