Individual
DR. PURNEMA MADAHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9819
(212) 305-8464
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(212) 305-9819
(212) 305-8464
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
269539
NY
207RP1001X
Pulmonary Disease Physician
269539
NY
Other
Enumeration date
08/03/2011
Last updated
03/19/2020
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