Korrapati, Madhusudana R

Korrapati, Madhusudana R is an individual health care provider with primary practice located at 300 Old Country Rd Suite 111, Mineola NY 11501-4198. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Korrapati, Madhusudana R can be contacted via phone (516) 745-0500.

Contact Information

Primary practice address
300 Old Country Rd Suite 111 Mineola NY 11501-4198
Phone: (516) 745-0500
Fax: (516) 745-1534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 207703 New York
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 2020-04209 North Carolina

Profile Details

NPI number 1255339834
LBN Legal business name Korrapati, Madhusudana R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Dec 20th, 2021 - about 3 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 1255339834 NPPES
New York MEDICAID 01799559

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