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Individual

DR. SUJATHA ADDAGATLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2900 MILITARY RD, NIAGARA FALLS, NY 14304-1252
(716) 298-1868
(716) 205-0836
Mailing address
2900 MILITARY RD, NIAGARA FALLS, NY 14304-1252
(716) 298-1868
(716) 205-0836

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
190795
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00010348704
UNIVERA
NY
01
000524501007
BLUE CROSS BLUE SHIELD
NY
05
01630735
NY
01
163410BZ
PREFERRED CARE
NY
01
2509942
INDEPENDENT HEALTH
NY
01
2593770
GHI PPO & NETWORK
NY
01
390008664
M EDICARE RAILROAD
NY
01
78433
GHI HMO
NY
Enumeration date
10/17/2006
Last updated
07/08/2007
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