Individual
NAGENDRANATH DHANYAMRAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 MASSACHUSETTS AVE, TROY, NY 12180-1628
(518) 268-5554
(518) 268-5396
Mailing address
3998 FAIR RIDGE DRIVE, SUITE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
204569
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000490204001
BSNENY
NY
05
—
01749504
—
NY
01
—
05010
MVP
NY
01
—
10023510
CDPHP
NY
01
—
204569-8AN
WC
NY
01
—
5399982
GHI
NY
01
—
66A641
EMPIRE BS
NY
01
—
7459616
AETNA
NY
Enumeration date
08/25/2006
Last updated
04/24/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us