Kurra, Padmavathy

Kurra, Padmavathy is an sole proprietor health care provider with primary practice located at 15-01 Broadway Suite 10-B, Fair Lawn NJ 07410-6003. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Kurra, Padmavathy can be contacted via phone (201) 794-7733.

Contact Information

Primary practice address
15-01 Broadway Suite 10-B Fair Lawn NJ 07410-6003
Phone: (201) 794-7733
Fax: (201) 794-6039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 25MA05120200 New Jersey
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 25MA05120200 New Jersey

Profile Details

NPI number 1205949468
LBN Legal business name Kurra, Padmavathy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 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 1205949468 NPPES
New Jersey MEDICAID 0129208

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