Muddappa, Manjula
Muddappa, Manjula is an individual health care provider with primary practice located at 3 Tech Valley Dr , East Greenbush NY 12061-4134. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Muddappa, Manjula can be contacted via phone (518) 441-1250.Contact Information
Primary practice address
3 Tech Valley Dr
East Greenbush NY 12061-4134
Phone: (518) 441-1250
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 208320 | New York |
Profile Details
| NPI number | 1861463523 |
|---|---|
| LBN Legal business name | Muddappa, Manjula |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Jun 12th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861463523 | NPPES |
| New York | MEDICAID | 01852299 |
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