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Individual

DR. PADMAVATHI MURAKONDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4141 CARPENTER AVE, RENAL UNIT, BRONX, NY 10466-2600
(718) 920-9041
(718) 920-9043
Mailing address
PO BOX 1239, SCARSDALE, NY 10583-9239
(914) 636-8591
(914) 633-5084

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
211425
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02312600
NY
01
211425
HIP
NY
01
4C9177
HEALTHNET
01
53P991
BLUE CROSS
NY
Enumeration date
10/12/2006
Last updated
11/20/2009
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