Organization
HORNELL INTERNAL MEDICINE & NEPHROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAVIDI K HARIPRASAD MD (PRESIDENT)
(607) 324-3794
Entity
Organization
Contact information
Practice address
343 SENECA RD, HORNELL, NY 14843-1033
(607) 324-3794
(607) 324-3795
Mailing address
343 SENECA RD, HORNELL, NY 14843-1033
(607) 324-3794
(607) 324-3795
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
127174
NY
207RN0300X
Nephrology Physician
Primary
127174
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00460031
—
NY
05
—
BT9
—
NY
Enumeration date
10/04/2006
Last updated
09/11/2025
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