Individual
JANAKI KANUMILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8338 LITTLE NECK PKWY, FLORAL PARK, NY 11004-1626
(718) 347-0504
(718) 343-3979
Mailing address
11050 71ST RD, SUITE 1B, FOREST HILLS, NY 11375-4969
(718) 263-5909
(718) 343-3979
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
222149
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02362729
—
NY
01
—
084821488
UNITED HEALTH CARE
NY
01
—
141539
HIP
NY
01
—
191803007
CIGNA
NY
01
—
201993043
1199
NY
01
—
3001048
AETNA
NY
01
—
4C6090
ACS HEALTH NET
NY
01
—
5485D
EMPIRE BLUE CROSS BLUE SH
NY
01
—
5997928
GHI
NY
01
—
P2718132
OXFORD
NY
Enumeration date
05/09/2006
Last updated
04/26/2016
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