Jonnalagadda, Padmavathi
Jonnalagadda, Padmavathi is an sole proprietor health care provider with primary practice located at 3438 John F Kennedy Blvd , Jersey City NJ 07307-4166. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Jonnalagadda, Padmavathi can be contacted via phone (201) 420-0366.Contact Information
Primary practice address
3438 John F Kennedy Blvd
Jersey City NJ 07307-4166
Phone: (201) 420-0366
Fax: (201) 420-6422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA07442900 | New Jersey |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 225330-1 | New York |
Profile Details
| NPI number | 1144228891 |
|---|---|
| LBN Legal business name | Jonnalagadda, Padmavathi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jan 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144228891 | NPPES |
| New Jersey | Other | DB2462 | RAILROAD MEDICARE GROUP # |
| New Jersey | MEDICAID | 9006508 | RAILROAD MEDICARE GROUP # |
| New Jersey | MEDICAID | 0036536 | RAILROAD MEDICARE GROUP # |
| New Jersey | Other | 043714808 | RAILROAD MEDICARE GROUP # |
| New Jersey | MEDICAID | 02511508 | RAILROAD MEDICARE GROUP # |
| New Jersey | Other | P00089969 | RAILROAD MEDICARE GROUP # |
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