Individual
DR. MADHUSUDHANA KANAGALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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) 263-7562
(914) 633-5084
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
203587
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02567875
—
NY
01
—
299AU1
BLUE CROSS
NY
Enumeration date
10/05/2006
Last updated
07/16/2024
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