Individual
DR. RADHIKA RACHAMALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
45 READE PL, DYSON CENTER 2ND FLOOR, POUGHKEEPSIE, NY 12601-3947
(845) 483-6960
(845) 483-6425
Mailing address
1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY 12540-5108
(845) 475-9661
(845) 475-9938
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
233018
NY
207RH0003X
Hematology & Oncology Physician
Primary
233018
NY
207RX0202X
Medical Oncology Physician
233018
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02600833
—
NY
Enumeration date
09/07/2005
Last updated
12/29/2016
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