Dr. Kasturi Etukuru, MD
Internal Medicine in Staten Island, New York
1912117300- Practice location
- 355 Bard Ave, Staten Island, NY 10310-1664
- Phone
- 718-818-2526
- Fax
- —
- Last updated
- April 25, 2024
Kasturi Etukuru is an Internal Medicine based in Staten Island, NY. Kasturi Etukuru practices in Staten Island, NY and has the professional credentials of MD. The NPI Number for Kasturi Etukuru is 1912117300 and holds a License No. 244886 (NY). The current practice location address for Kasturi Etukuru is 355 Bard Ave, Staten Island, NY 10310-1664 and can be reached out via phone at 718-818-2526.
Provider Profile Details
- NPI Number
- 1912117300
- Provider Name
- Kasturi Etukuru
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 355 Bard Ave, Staten Island, NY 10310-1664
- Phone Number
- 718-818-2526
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 23, 2007
- Last Update Date
- April 25, 2024
- Certification Date
- April 24, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 355 Bard Ave
Staten Island, NY 10310-1664 - City
- Staten Island
- State
- New York
- Zip
- 10310-1664
- Phone Number
- 718-818-2526
Provider Business Mailing Address Details
- Address
- 355 Bard Ave
Apt#6g
Staten Island, NY 10310-1664 - City
- Staten Island
- State
- NY
- Zip
- 10310-1664
- Phone Number
- 718-701-0043
License Information
- License Number (1)
- 244886
- License State (1)
- NY
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 25MA08605300
- License State (2)
- NJ
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Kasturi Etukuru, MD?
The NPI number of Dr. Kasturi Etukuru, MD is 1912117300. It was assigned on May 23, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Kasturi Etukuru, MD?
Dr. Kasturi Etukuru, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NY under license number 244886.
Where does Dr. Kasturi Etukuru, MD practice?
The practice location is 355 Bard Ave, Staten Island, NY 10310-1664. The office can be reached at 718-818-2526 (phone).
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 1912117300 directly on the NPPES registry website.