Individual
DR. UMA RATAKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4170 BRONX BLVD, BRONX, NY 10466-2656
(718) 920-9823
Mailing address
27 JOAN AVE, WHITE PLAINS, NY 10607-1233
(914) 683-3266
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
211999
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01983586
—
NY
01
—
211999
LICENCE NUMBER
NY
Enumeration date
02/02/2007
Last updated
02/11/2015
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