Noah Praveen Kumar Kondamudi
M.D. | Pediatric Emergency Medicine | Male
Noah Praveen Kumar Kondamudi, M.D. is a Newark, New Jersey based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Noah Praveen Kumar Kondamudi is
30 Bergen St, Admc 12 1205, Newark, New Jersey - 07107-3000. He can be contacted on phone at
973-972-0037.
Noah Praveen Kumar Kondamudi is a sole proprietor of his business.
NPI number (Unique professional ID) for Noah Praveen Kumar Kondamudi is
1114958451 which was assigned by NPPES on 05 Jul, 2006 and it was last updated on 08 Jul, 2007.
Noah Praveen Kumar Kondamudi license number is
25MA06802600 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in New Jersey.
Noah Praveen Kumar Kondamudi has special qualifications to manage emergencies in infants and children.
Complete Profile:
Noah Praveen Kumar Kondamudi basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Noah Praveen Kumar Kondamudi |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Noah Praveen Kumar Kondamudi address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 30 Bergen St, Admc 12 1205
Newark, NJ, 07107-3000
United States |
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| Phone Number : | 973-972-0037 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1114958451 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Jul, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Noah Praveen Kumar Kondamudi are as mentioned. Primary taxonomy code for Noah Praveen Kumar Kondamudi, M.D. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 25MA06802600 | NJ |
Legacy Identifiers:
Other legacy medical identifiers of Noah Praveen Kumar Kondamudi such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 8778205 | MEDICAID | NJ | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 30 Bergen St, Admc 12 1205
Newark, NJ, 07107-3000
United States |
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Business Location:
Patients can refer following map for directions to
Noah Praveen Kumar Kondamudi practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.