Poduri, Kanakadurga R

Poduri, Kanakadurga R is an individual health care provider with primary practice located at 601 Elmwood Ave , Rochester NY 14642-0002. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Poduri, Kanakadurga R can be contacted via phone (585) 275-3271.

Contact Information

Primary practice address
601 Elmwood Ave Rochester NY 14642-0002
Phone: (585) 275-3271
Fax: (585) 442-2949
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X 141756 New York
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 141756 New York

Profile Details

NPI number 1285612184
LBN Legal business name Poduri, Kanakadurga R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Dec 19th, 2022 - about 2 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 1285612184 NPPES
New York MEDICAID 00944110

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