MEDICARE: DR. KAMALAMMA A DUVVI MD

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
1	2084P0805X	Geriatric Psychiatry Physician	132202	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447208160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAMALAMMA A DUVVI MD

Provider Business Mailing Address
First Line	:	35 WILLIAM PUCKEY DR
Second Line	:
City	:	CORTLANDT MANOR
State	:	NY
Zip	:	10567-6215
Country	:	US
Telephone Number	:	914-737-6861
Fax Number	:	914-737-6861

Provider Business Practice Location Address
First Line	:	2094 ALBANY POST RD
Second Line	:	VA HVHCS
City	:	MONTROSE
State	:	NY
Zip	:	10548-1454
Country	:	US
Telephone Number	:	914-737-4400
Fax Number	:	914-788-4304

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	07/08/2007

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