Ponnapalli, Madhavi
Ponnapalli, Madhavi is an individual health care provider with primary practice located at 17 E 102Nd St , New York NY 10029-5204. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Ponnapalli, Madhavi can be contacted via phone (212) 241-7968.Contact Information
Primary practice address
17 E 102Nd St
New York NY 10029-5204
Phone: (212) 241-7968
Fax: (212) 824-2312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | MA68935 | New Jersey |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 200832 | New York |
Profile Details
| NPI number | 1821068495 |
|---|---|
| LBN Legal business name | Ponnapalli, Madhavi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | May 27th, 2021 - about 4 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 | 1821068495 | NPPES |
| New Jersey | Other | 221957468 | TAX ID |
| New Jersey | MEDICAID | 7966407 | TAX ID |
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