Individual
MADHAVI LATHA REDDY KAMBAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
43 NEW SCOTLAND AVE, MC 7, ALBANY, NY 12208-3412
(518) 262-6696
Mailing address
43 NEW SCOTLAND AVE, MAIL CODE 7, ALBANY, NY 12208-3412
(518) 262-6696
(518) 262-6770
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
271085
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03654299
—
NY
01
—
P01295946
RAILROAD MEDICARE
NY
Enumeration date
06/15/2009
Last updated
03/19/2019
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