Active NPI
Valatie Imaging PC
- Diagnostic Radiology Physician
- Valatie, NY
National Provider Identifier
1386629152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- VALATIE IMAGING PC
- Practice address
- 1301 River St
Valatie, NY 12184-9694 - Phone
- (518) 758-7786
- NPI assigned
- Dec 14, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Subbarao Kunchala, MD
- Title
- President
- Phone
- (518) 758-7786
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1301 River St
Valatie, NY 12184-9694
Mailing address
PO Box 1123
Latham, NY 12110-0079
Phone (800) 357-4829
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Poughkeepsie, NY
- NPI 1942200803
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1386629152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1123",
"city": "LATHAM",
"state": "NY",
"postal_code": "121100079",
"telephone_number": "800-357-4829",
"fax_number": "518-786-1293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 RIVER ST",
"city": "VALATIE",
"state": "NY",
"postal_code": "121849694",
"telephone_number": "518-758-7786"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALATIE IMAGING PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KUNCHALA",
"authorized_official_first_name": "SUBBARAO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "518-758-7786",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valatie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.