Anupama Cheruku MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

242958 Issued in NY

Legal business name

ANUPAMA CHERUKU MD PLLC

Practice address

8712 58TH Ave
Elmhurst, NY 11373-4821

Phone

(718) 426-4800

Fax

(718) 651-9284

NPI assigned

Aug 6, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Anupama Cheruku, MD

Title

MD

Phone

(718) 275-6661

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1124284450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8712 58TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734821",
            "telephone_number": "718-426-4800",
            "fax_number": "718-651-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8712 58TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734821",
            "telephone_number": "718-426-4800",
            "fax_number": "718-651-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANUPAMA CHERUKU MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "CHERUKU",
        "authorized_official_first_name": "ANUPAMA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-275-6661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "242958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02961677",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.