Kanagala, Madhusudhana

Kanagala, Madhusudhana is an individual health care provider with primary practice located at 4141 Carpenter Ave Renal Unit, Bronx NY 10466-2600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Kanagala, Madhusudhana can be contacted via phone (718) 920-9041.

Contact Information

Primary practice address
4141 Carpenter Ave Renal Unit Bronx NY 10466-2600
Phone: (718) 920-9041
Fax: (718) 920-9043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 203587 New York

Profile Details

NPI number 1871689992
LBN Legal business name Kanagala, Madhusudhana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jul 16th, 2024 - about 5 months 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 1871689992 NPPES
New York MEDICAID 02567875
New York Other 299AU1

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