Duleep, Anuradha Kodendera

Duleep, Anuradha Kodendera is an individual health care provider with primary practice located at 90 Presidential Plz 4Th Floor, Syracuse NY 13202-2240. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Duleep, Anuradha Kodendera can be contacted via phone (315) 464-4243.

Contact Information

Primary practice address
90 Presidential Plz 4Th Floor Syracuse NY 13202-2240
Fax: (315) 464-5350
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 263054 New York
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 263054 New York

Profile Details

NPI number 1215174362
LBN Legal business name Duleep, Anuradha Kodendera
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2009
Last updated Dec 13th, 2012 - about 12 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 1215174362 NPPES
New York MEDICAID 03395535

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