Kesavarao Mittapalli MD

NPI 1043258023 - Internal Medicine - 207R00000X

NPI Details
NPI 1043258023
Gender Male
Enumeration Date 06/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
30 PROSPECT AVE
FACULTY PRACTICE OFFICE
HACKENSACK NJ, 07601-1914, US
Phone (201) 996-2816
Fax
Business Location
280 HENRY ST
PARAMUS NJ, 07652-4536, US
Phone (201) 261-0262
Fax
Toxanomy
Taxonomy Code 207R00000X
License State New Jersey
License Number 25MA05903900
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According to our database, Dr. Kesavarao Mittapalli MD NPI is 1043258023, taxonomy code is 207R00000X and license number is 25MA05903900, license state is located at New Jersey. Kesavarao Mittapalli MD physically located at 30 Prospect Ave, Hackensack NJ, 07601-1914. NPI Number Kesavarao Mittapalli MD has the Individual type.

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1043258023 NPI number is provided on an as is basis without warranty of any kind. 1043258023 is maintained by the National Plan & Provider Enumeration System. The contents of Kesavarao Mittapalli MD are for informational purposes only.