Noah Praveen Ku Kondamudi in Newark - Pediatric Emergency Medicine
Noah Praveen Ku Kondamudi - NPI 1114958451
Noah Praveen Ku Kondamudi is a Pediatric Emergency Medicine in Newark, New Jersey. Noah Praveen Ku Kondamudi practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. The NPI Number for Noah Praveen Ku Kondamudi is 1114958451. The last update date is 2007-07-08.
Noah Praveen Ku Kondamudi's current location address is 30 Bergen St, Newark, New Jersey. You can contact this provider via phone number 9739720037. The mailing address for Noah Praveen Ku Kondamudi is 30 Bergen St, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Noah Praveen Ku Kondamudi |
|---|---|
| Address | 30 Bergen St, Newark, New Jersey |
| Phone Number | 9739720037 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1114958451 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 30 Bergen St |
|---|---|
| City | Newark |
| State | New Jersey (NJ) |
| Post Code | 71073000 |
| Phone Number | 9739720037 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Emergency Medicine |
|---|---|
| Taxonomy | 2080P0204X |
| Licence No | 25MA06802600 |
|
Definition: A pediatrician who has special qualifications to manage emergencies in infants and children. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8778205 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Noah Praveen Ku Kondamudi by the Centers for Medicare & Medicaid Services?
The Noah Praveen Ku Kondamudi has been assigned the NPI (National Provider Identifier) 1114958451 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Noah Praveen Ku Kondamudi?
The Noah Praveen Ku Kondamudi is situated at 30 Bergen St, in the city of Newark, state of NJ, with the zip code 71073000.
What is the area of specialization for Noah Praveen Ku Kondamudi, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Noah Praveen Ku Kondamudi is Pediatric Emergency Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2080P0204X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114958451 to Noah Praveen Ku Kondamudi?
The Centers for Medicare & Medicaid Services originally issued the 1114958451 to Noah Praveen Ku Kondamudi on 2006-07-05.
As of what date were the Noah Praveen Ku Kondamudi's details last updated?
The information pertaining to the Noah Praveen Ku Kondamudi, including its address, specialty, and other details, was most recently updated on 2007-07-08.