KUDUVALLI OMPRAKASH

STATEN ISLAND, NY
NPI1376504019
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NY  146561)
Enumeration Date2006-03-31
Last Update Date2012-04-05
Business Address
-- KUDUVALLI OMPRAKASH MD
235 PORT RICHMOND AVE
STATEN ISLAND, NY 10302-1701
Phone number: 718-924-2254
Mailing Address
-- KUDUVALLI OMPRAKASH MD
235 PORT RICHMOND AVE
STATEN ISLAND, NY 10302-1701
Phone number: 718-924-2254
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