SIVA KUMAR MUDDANA

MOUNT VERNON, NY
NPI1306246335
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: NM  MD2017-0645)
Enumeration Date2014-08-27
Last Update Date2017-08-14
Business Address
-- SIVA KUMAR MUDDANA
12 N 7TH AVE MONTEFIORE MOUNT VERNON HOSPITAL
MOUNT VERNON, NY 10550-2026
Phone number: 914-361-8000
Mailing Address
-- SIVA KUMAR MUDDANA
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
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