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NPI Code Detail

MEDICARE: DR. ARUNAKUMARI PENUMADU M.D.

MEDICARE:  DR. ARUNAKUMARI  PENUMADU  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 Physician246977NY
2207RC0200XCritical Care Medicine (Internal Medicine) Physician246977NY
3207RP1001XPulmonary Disease Physician246977NY
4207RS0012XSleep Medicine (Internal Medicine) Physician246977NY

Other Identifiers

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

General Provider Information

NPI Number : 1275531931
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARUNAKUMARI PENUMADU M.D.
Provider Business Mailing Address
First Line : 30-27 30 ST
Second Line :
City : ASTORIA
State : NY
Zip : 11102
Country : US
Telephone Number : 718-785-5785
Fax Number : 718-313-0664
Provider Business Practice Location Address
First Line : 2510 30TH AVE
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11102-2448
Country : US
Telephone Number : 718-879-1651
Fax Number : 718-267-6578
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 04/27/2015

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