Jonnalagadda, Padmavathi

Jonnalagadda, Padmavathi is an sole proprietor health care provider with primary practice located at 3438 John F Kennedy Blvd , Jersey City NJ 07307-4166. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Jonnalagadda, Padmavathi can be contacted via phone (201) 420-0366.

Contact Information

Primary practice address
3438 John F Kennedy Blvd Jersey City NJ 07307-4166
Phone: (201) 420-0366
Fax: (201) 420-6422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA07442900 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 225330-1 New York

Profile Details

NPI number 1144228891
LBN Legal business name Jonnalagadda, Padmavathi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Jan 25th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144228891 NPPES
New Jersey Other DB2462 RAILROAD MEDICARE GROUP #
New Jersey MEDICAID 9006508 RAILROAD MEDICARE GROUP #
New Jersey MEDICAID 0036536 RAILROAD MEDICARE GROUP #
New Jersey Other 043714808 RAILROAD MEDICARE GROUP #
New Jersey MEDICAID 02511508 RAILROAD MEDICARE GROUP #
New Jersey Other P00089969 RAILROAD MEDICARE GROUP #

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