Muftah a. Kadura, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

204779 Issued in NY

Legal business name

MUFTAH A. KADURA, MD

Practice address

235 Genesee St
Wampsville, NY 13163

Phone

(315) 363-1363

Fax

(315) 363-6889

NPI assigned

Jul 12, 2007

Last updated

Jun 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Muftah A. Kadura, M.D.

Title

Owner/ President

Phone

(315) 245-0505

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1477752376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 GENESEE ST",
            "city": "WAMPSVILLE",
            "state": "NY",
            "postal_code": "13163",
            "telephone_number": "315-363-1363",
            "fax_number": "315-363-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 GENESEE ST",
            "city": "WAMPSVILLE",
            "state": "NY",
            "postal_code": "13163",
            "telephone_number": "315-363-1363",
            "fax_number": "315-363-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUFTAH A. KADURA, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "KADURA",
        "authorized_official_first_name": "MUFTAH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "315-245-0505",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "204779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01747364",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen A Miller
• Sara O'Connell Miller, LMSW
• Laura C Mitchell, LMSW
• Amy N Mlasgar, M.S.W.
• Shawna M Morasco, LCSW-R
• Marianne Nastri, LCSW-R
• Brienne Barnett O'Neill
• Kirsten Renee Parry, LMSW
• Anna Pavia, LMSW
• Beth Perry

• Internal Medicine Physician in Wampsville, NY
• Providers in Wampsville, 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 Jun 18, 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.