SearchNew York183500000X

Bangarraju Penumetsa

NPI 1508014770 · on the registry since 2008 · sole proprietor

Practice

Address
11901 Jamaica Ave
Richmond Hill, NY 11418
Phone
(718) 847-9850

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
183500000X
183500000X
183500000X
Licence states on file
NY, NJ, MI, MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-08-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York