Individual
POKALA R KIRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
161 FORT WASHINGTON AVE FL 8, NEW YORK, NY 10032-3729
(212) 342-1161
(212) 305-0267
Mailing address
161 FORT WASHINGTON AVE FL 8, NEW YORK, NY 10032-3729
(212) 342-1155
(212) 305-0267
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
269812-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2751820
—
OH
05
—
3590801
—
NY
Enumeration date
06/15/2007
Last updated
04/24/2018
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