Individual
PRATAP NADAVALURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2419
Mailing address
185 S ORANGE AVE, MSB G-538, NEWARK, NJ 07103-2757
(973) 972-5682
(973) 972-6591
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA10524600
NJ
207L00000X
Anesthesiology Physician
326125
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2014
Last updated
12/30/2025
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