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Gangadhar Madupu, MD
Neurology Physician in Rome, New York
NPI 1114017969

Gangadhar Madupu is a Neurology Physician based in Rome, NY and is specialized in Neurology. Gangadhar Madupu practices in Rome, NY and has the professional credentials of MD. The NPI Number for Gangadhar Madupu is 1114017969 and holds a License No. 216519 (New York).

The current practice location address for Gangadhar Madupu is 1617 N James St, Rome, NY and can be reached out via phone at 315-533-1025 and via fax at 315-533-1006.

Location: 1617 N James St, Rome, NY, 13440-2852
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114017969
Provider Name
Gangadhar Madupu
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1617 N James St, Rome, NY, 13440-2852
Phone Number
315-533-1025
Fax Number
315-533-1006
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10049766 01 CDPHP
3099103 01 GHI
13625 01 NY MVP
02112967 05 NY
institution
Provider Business Practice Location Address Details
Address
1617 N James St
City
Rome
State
New York
Zip
13440-2852
Phone Number
315-533-1025
Fax Number
315-533-1006
person
Provider Business Mailing Address Details
Address
1617 N James St
City
Rome
State
New York
Zip
13440-2852
Phone Number
315-533-1025
Fax Number
315-533-1006
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
216519 (New York)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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