Individual provider · NPI-1

Dr. Padmavathy Kurra, MD

· Fair Lawn, NJ

NPI number1205949468
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1205949468
Entity type
Individual (NPI-1)
Name
Dr. Padmavathy Kurra
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 15, 2006
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084P0805X 25MA05120200NJYes
2084P0800X Psychiatry & Neurology, Psychiatry25MA05120200NJ

Practice location

15-01 Broadway
Suite 10-B
Fair Lawn, NJ 07410-6003

Phone 201-794-7733 · Fax 201-794-6039

Mailing address

15-01 Broadway
Suite 10-B
Fair Lawn, NJ 07410-6003

Phone 201-794-7733 · Fax 201-794-6039

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