Individual
DR. MADHAVI PONNAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17 E 102ND ST, NEW YORK, NY 10029-5204
(212) 241-7968
(212) 824-2312
Mailing address
150 E 42ND ST FL 9, NEW YORK, NY 10017-5699
(646) 605-8186
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
200832
NY
207RI0200X
Infectious Disease Physician
MA68935
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
221957468
TAX ID
NJ
05
—
7966407
—
NJ
Enumeration date
01/25/2006
Last updated
05/27/2021
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