Kondamudi, Noah Praveen Kumar

Kondamudi, Noah Praveen Kumar is an individual health care provider with primary practice located at 30 Bergen St Admc 12 1205, Newark NJ 07107-3000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Kondamudi, Noah Praveen Kumar can be contacted via phone (973) 972-0037.

Contact Information

Primary practice address
30 Bergen St Admc 12 1205 Newark NJ 07107-3000
Phone: (973) 972-0037
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 25MA06802600 New Jersey

Profile Details

NPI number 1114958451
LBN Legal business name Kondamudi, Noah Praveen Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jul 8th, 2007 - about 17 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 1114958451 NPPES
New Jersey MEDICAID 8778205

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