Individual
BABURAO N SAMUDRALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
460 ANDES RD, PHYSICIANS OFFICE BUILDING, DELHI, NY 13753-7407
(607) 746-6266
(607) 746-6266
Mailing address
PO BOX 340, NEW HARTFORD, NY 13413-0340
(315) 732-9368
(315) 732-9403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
138827-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00492026
—
NY
Enumeration date
05/27/2006
Last updated
03/07/2023
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