Dr. Srinivasa Edara, MD
Internal Medicine, Critical Care Medicine in New York, NY. Individual provider (NPI-1).
NPI number1629068218
StatusActive
Last updated in NPPESApr 11, 2023
Details
- NPI
- 1629068218
- Entity type
- Individual (NPI-1)
- Name
- Dr. Srinivasa Edara
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2005
- Certification date
- Apr 11, 2023
- Last updated
- Apr 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0200X | Internal Medicine, Critical Care Medicine | 214817 | NY | Yes |
| 207R00000X | Internal Medicine | 214817 | NY | |
| 207RS0012X | Internal Medicine, Sleep Medicine | 214817 | NY |
Practice location
111 Amsterdam AveNew York, NY 10023-7410
Phone 212-523-2211
Mailing address
160 Water St20th Floor
New York, NY 10038-4922
Phone 212-256-3539
Other practice locations
707 E Main St
Middletown, NY 10940-2650
Middletown, NY 10940-2650
Phone 845-333-7575
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