Individual
ARUNIMA MAMIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MA068633
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2227114001
KEYSTONE
—
01
—
60006502
HORIZON NJ HEALTH
—
05
—
7947607
—
NJ
01
—
J31841
HEALTHNET
—
Enumeration date
08/02/2006
Last updated
09/05/2012
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