Individual
DR. RUDRAMA DUGGIRALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
90 45 PITKIN AVE, OZONE PARK, NY 11417
(347) 454-9152
(347) 454-9153
Mailing address
15726 16TH RD, WHITESTONE, NY 11357-3226
(917) 304-7025
(718) 322-2259
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
187905
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01536456
—
NY
Enumeration date
01/19/2006
Last updated
11/26/2012
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