Individual
BHAVANA KADIYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 MEDICAL CENTER DR STE 162, STRATFORD, NJ 08084-1500
(856) 566-2753
Mailing address
219 MORNING GLORY DR, MONROE TOWNSHIP, NJ 08831-5339
(732) 789-3773
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB12157300
NJ
Other
Enumeration date
04/21/2021
Last updated
11/25/2025
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