MEDICARE: MADHAVI RAYAPANENI

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	183500000X	Pharmacist	047422-1	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	:	1659552388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADHAVI RAYAPANENI

Provider Business Mailing Address
First Line	:	1091 OGDEN AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10452-4601
Country	:	US
Telephone Number	:	718-293-5271
Fax Number	:

Provider Business Practice Location Address
First Line	:	1091 OGDEN AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10452-4601
Country	:	US
Telephone Number	:	718-293-5271
Fax Number	:

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

Provider Enumeration Date	:	11/22/2007
Last Update Date	:	11/22/2007

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Directions to “ MADHAVI RAYAPANENI ” Practice Location

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