Dhanyamraju, Sumitra

Dhanyamraju, Sumitra is an individual health care provider with primary practice located at 75 Orange Ave Hudson River Healthcare, Inc., Walden NY 12586-1816. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dhanyamraju, Sumitra can be contacted via phone (845) 778-2700.

Contact Information

Primary practice address
75 Orange Ave Hudson River Healthcare, Inc. Walden NY 12586-1816
Fax: (845) 778-2945
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD 432014 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 208516 New York

Profile Details

NPI number 1730258625
LBN Legal business name Dhanyamraju, Sumitra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Apr 4th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730258625 NPPES
New York MEDICAID 01841634
New York Other 124732KQC

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