Individual
ANANTAPUR PANDURANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26 CENTER CIR, WASSAIC, NY 12592-2637
(845) 877-6821
(845) 877-9702
Mailing address
11 QUAIL RIDGE RD, GAYLORDSVILLE, CT 06755-1203
(860) 354-2436
(845) 877-9702
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
147572-1
NY
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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