Individual
AMARESWARI KADIYAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
97 ROUTE 303, TAPPAN, NY 10983-2514
(845) 359-5005
Mailing address
4 FRASCO LN, NORWOOD, NJ 07648-2407
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA09967800
NJ
207Q00000X
Family Medicine Physician
Primary
33168601
NY
Other
Enumeration date
08/13/2014
Last updated
07/31/2024
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