Individual
PUJITHA KUDARAVALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-5240
(315) 464-3751
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(469) 990-9457
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
1019917
MA
Other
Enumeration date
04/25/2018
Last updated
10/31/2024
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