Individual
SUJANA MOVVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(646) 888-4342
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(646) 888-4342
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301083136
MI
207RH0003X
Hematology & Oncology Physician
63884
GA
207RX0202X
Medical Oncology Physician
Primary
MD447190
PA
Other
Enumeration date
05/22/2007
Last updated
02/14/2019
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