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NPI 1487687844

NPI 1487687844 : RAJASEKHAR V ADDEPALLI MD : BRONX, NY

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General NPI Number Information
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    NPI Number           |    1487687844
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    Entity Type          |    Individual 
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    Provider Name        |    RAJASEKHAR V ADDEPALLI MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/09/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    234 E 149TH ST 10C
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    City                 |    BRONX
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    State                |    NY
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    Zip                  |    10451-5504
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    Country              |    US
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    Telephone            |    917-699-6408
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6441 SAUNDERS ST APT 617
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    City                 |    REGO PARK
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    State                |    NY
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    Zip                  |    11374-3248
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    Country              |    US
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    Telephone            |    917-699-6408
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    233346
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    2084P0805X
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    Taxonomy Name        |    Geriatric Psychiatry Physician
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    License Number       |    233346
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    License Number State |    NY
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