Noah Praveen Kumar Kondamudi, M.D.
Pediatrics, Pediatric Emergency Medicine in Newark, NJ. Individual provider (NPI-1).
NPI number1114958451
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1114958451
- Entity type
- Individual (NPI-1)
- Name
- Noah Praveen Kumar Kondamudi
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 5, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | 25MA06802600 | NJ | Yes |
Practice location
30 Bergen StAdmc 12 1205
Newark, NJ 07107-3000
Phone 973-972-0037
Mailing address
30 Bergen StAdmc 12 1205
Newark, NJ 07107-3000
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