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NPI Code Detail

MEDICARE: DR. SWARUPA RANI GADDIPATI M.D

MEDICARE: DR. SWARUPA RANI GADDIPATI M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician151045NY

General Provider Information

NPI Number : 1114981909
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SWARUPA RANI GADDIPATI M.D
Provider Business Mailing Address
First Line : 24 STRATFORD DR
Second Line :
City : SOMERSET
State : NJ
Zip : 08873-4824
Country : US
Telephone Number : 732-873-9556
Fax Number : 732-873-9556
Provider Business Practice Location Address
First Line : 1225 GERARD AVE
Second Line :
City : BRONX
State : NY
Zip : 10452-8001
Country : US
Telephone Number : 718-960-2894
Fax Number : 718-960-7037
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2006
Last Update Date : 07/08/2007

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