Padmavathi Jonnalagadda,Mdpa in Jersey City - Internal Medicine

Padmavathi Jonnalagadda,Mdpa - NPI 1821096504

Padmavathi Jonnalagadda,Mdpa is a Internal Medicine in Jersey City, New Jersey. Padmavathi Jonnalagadda,Mdpa practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Padmavathi Jonnalagadda,Mdpa is 1821096504. The last update date is 2012-01-25.

Padmavathi Jonnalagadda,Mdpa's current location address is 3438 John F Kennedy Blvd, Jersey City, New Jersey. You can contact this provider via phone number 2014200366 and fax number 2014206422. The mailing address for Padmavathi Jonnalagadda,Mdpa is 3438 John F Kennedy Blvd, Jersey City, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Padmavathi Jonnalagadda,Mdpa
Address 3438 John F Kennedy Blvd, Jersey City, New Jersey
Phone Number 2014200366
Fax Number 2014206422
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Jonnalagadda Padmavathi
Credentials MD
Telephone Number 2014200366

NPI Number Detail

NPI Number 1821096504
Provider Enumeration Date 2005-07-07
Last Updated Date 2012-01-25

Provider Mailing Address Detail

Address 3438 John F Kennedy Blvd
City Jersey City
State New Jersey (NJ)
Post Code 73074166
Phone Number 2014200366
Fax Number 2014206422

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 25MA07442900
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DB2462 NJ RAILROAD MEDICARE GROUP #
36536 NJ --

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FAQs about Padmavathi Jonnalagadda,Mdpa

What is the Padmavathi Jonnalagadda,Mdpa's unique identification number?

The Padmavathi Jonnalagadda,Mdpa has been assigned the NPI (National Provider Identifier) Number 1821096504 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Padmavathi Jonnalagadda,Mdpa's physical address?

The Padmavathi Jonnalagadda,Mdpa is physically located at 3438 John F Kennedy Blvd, in the city of Jersey City, NJ, with the postal code 73074166.

What is Padmavathi Jonnalagadda,Mdpa's area of expertise and its corresponding taxonomy classification?

The Padmavathi Jonnalagadda,Mdpa's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.

When did Padmavathi Jonnalagadda,Mdpa receive its 1821096504 assignment?

The Padmavathi Jonnalagadda,Mdpa was assigned its 1821096504 on 2005-07-07, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Padmavathi Jonnalagadda,Mdpa most recently updated or revised?

The information pertaining to Padmavathi Jonnalagadda,Mdpa, including its address, specialty, and other relevant details, was last updated or revised on 2012-01-25.

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