Individual
DIVYA CHERUKUPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3478
(518) 462-4305
Mailing address
43 NEW SCOTLAND AVE # 131, ALBANY, NY 12208-3478
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2843491
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/26/2011
Last updated
03/07/2019
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