MEDICARE: VASUDEVARAO JONNALAGADDA 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	207RN0300X	Nephrology Physician	25MA06324000	NJ
2	207RN0300X	Nephrology Physician	199878-1	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00094722	OTHER	NJ	RAILROAD MEDICARE
6	DB2462	OTHER	NJ	RAILROAD MEDICARE GROUP #

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
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	043714808	OTHER	NJ	HORIZON B/C B/S

General Provider Information

NPI Number	:	1669470308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VASUDEVARAO JONNALAGADDA MD

Provider Business Mailing Address
First Line	:	3438 JOHN F KENNEDY BLVD
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07307-4166
Country	:	US
Telephone Number	:	201-420-0366
Fax Number	:	201-420-6422

Provider Business Practice Location Address
First Line	:	3438 JOHN F KENNEDY BLVD
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07307-4166
Country	:	US
Telephone Number	:	201-420-0366
Fax Number	:	201-420-6422

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	08/20/2015

Similar Medicare Providers

1821096504 — PADMAVATHI JONNALAGADDA,MDPA
Practice Location Address:

3438 JOHN F KENNEDY BLVD
JERSEY CITY, NJ
07307-4166

Practice Phone: 201-420-0366
Practice Fax: 201-420-6422

1144228891 — PADMAVATHI JONNALAGADDA MD
Practice Location Address:

3438 JOHN F KENNEDY BLVD
JERSEY CITY, NJ
07307-4166

Practice Phone: 201-420-0366
Practice Fax: 201-420-6422

1336110121 — BRIAN DAVID AHERN DDS
Practice Location Address:

1854 MINNESOTA AVE
KANSAS CITY, KS
66102-4166

Practice Phone: 913-281-5538
Practice Fax:

1235443391 — DR. ANDY DAVONG D.D.S.
Practice Location Address:

7406 W. STATE HIGHWAY 66
ROYSE CITY, TX
75189-4166

Practice Phone: 972-460-4422
Practice Fax: 469-723-3237

1437541794 — KIMBERLY DAVONG FNP-BC
Practice Location Address:

7406 W STATE HIGHWAY 66
ROYSE CITY, TX
75189-4166

Practice Phone: 972-460-4422
Practice Fax:

1093265829 — DANIEL KUBIER OTR/L
Practice Location Address:

2521 N ROBINSON AVE , APT C
OKLAHOMA CITY, OK
73103-4166

Practice Phone: 405-821-6403
Practice Fax:

Directions to “ VASUDEVARAO JONNALAGADDA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.