Individual
DR. KRISHNA KUMAR VADLAMUDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
45 1ST ST, ILION, NY 13357-1710
(315) 895-7408
(315) 894-2072
Mailing address
45 1ST ST, ILION, NY 13357-1710
(315) 895-7408
(315) 894-2072
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
111069
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00456148
—
NY
Enumeration date
07/14/2005
Last updated
07/08/2007
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