Active NPIIndividual provider

Dr. Mamatha R Gadarla, MD

Internal Medicine in Caldwell, New Jersey

NPI Number1124167879
Practice location
526 Bloomfield Ave Ste 103, Caldwell, NJ 07006-5525
Fax
973-559-6188
Last updated
June 5, 2024

Mamatha Reddy Gadarla is an Internal Medicine based in Caldwell, NJ. Mamatha Reddy Gadarla practices in Caldwell, NJ and has the professional credentials of MD. The NPI Number for Mamatha Reddy Gadarla is 1124167879 and holds a License No. 25MA08121700 (NJ). The current practice location address for Mamatha Reddy Gadarla is 526 Bloomfield Ave Ste 103, Caldwell, NJ 07006-5525 and can be reached out via phone at 973-239-1600 and via fax at 973-559-6188.

Provider Profile Details

NPI Number
1124167879
Provider Name
Mamatha Reddy Gadarla
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
526 Bloomfield Ave Ste 103, Caldwell, NJ 07006-5525
Phone Number
973-239-1600
Fax Number
973-559-6188
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
February 6, 2007
Last Update Date
June 5, 2024
Certification Date
June 5, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
526 Bloomfield Ave Ste 103
Caldwell, NJ 07006-5525
Zip
07006-5525
Phone Number
973-239-1600
Fax Number
973-559-6188
Caldwell, NJ 07006Get directions →

Provider Business Mailing Address Details

Address
105 Jesse Court
Montville, NJ 07045-3459
City
Montville
State
NJ
Zip
07045-3459
Phone Number
973-265-8729

License Information

License Number
25MA08121700
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mamatha R Gadarla, MD?

The NPI number of Dr. Mamatha R Gadarla, MD is 1124167879. It was assigned on February 6, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Mamatha R Gadarla, MD?

Dr. Mamatha R Gadarla, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA08121700.

Where does Dr. Mamatha R Gadarla, MD practice?

The practice location is 526 Bloomfield Ave Ste 103, Caldwell, NJ 07006-5525. The office can be reached at 973-239-1600 (phone) or 973-559-6188 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124167879 directly on the NPPES registry website.

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