NPI 1497773303

Pardha S Valluru, MD

Practitioner Rehabilitation Practitioner Brooklyn, NY

Practice location

Address: 2601 Ocean Pkwy, Brooklyn, NY 11235-7745
Phone: (718) 616-4408
Fax: (718) 616-4105
Mailing address: 3720 77th St 2nd Floor, Jackson Heights, NY 11372-6630

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence 203580 (NY)

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Registry record

NPI: 1497773303
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jul 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.