Individual
DR. BANGARURAJU KOLANUVADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
970 N BROADWAY, STE 206, YONKERS, NY 10701-1310
(914) 969-7100
Mailing address
1 FOREST BLVD, ARDSLEY, NY 10502-1003
(914) 803-6429
(914) 664-6788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
228890
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02499383
—
NY
Enumeration date
02/15/2006
Last updated
12/20/2021
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