Organization
QUEENS PEDIATRIC CARDIOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAMODAR THAMBIREDDY MD (SOLE PROPRIETOR)
(718) 565-0700
Entity
Organization
Contact information
Practice address
8708 JUSTICE AVE, SUITE CF, ELMHURST, NY 11373-4590
(718) 565-0700
Mailing address
8708 JUSTICE AVE, SUITE CF, ELMHURST, NY 11373-4590
(718) 565-0700
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
234477
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02624133
—
NY
Enumeration date
01/24/2007
Last updated
04/10/2009
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