Duggirala, Rudrama
Duggirala, Rudrama is an sole proprietor health care provider with primary practice located at 90 45 Pitkin Ave , Ozone Park NY 11417. She recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as her primary health care specialty. Duggirala, Rudrama can be contacted via phone (347) 454-9152.Contact Information
Primary practice address
90 45 Pitkin Ave
Ozone Park NY 11417
Phone: (347) 454-9152
Fax: (347) 454-9153
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | 187905 | New York |
Profile Details
| NPI number | 1891775425 |
|---|---|
| LBN Legal business name | Duggirala, Rudrama |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Nov 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891775425 | NPPES |
| New York | MEDICAID | 01536456 |
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