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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205949468 | NPPES |
| New Jersey | MEDICAID | 0129208 |
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