Bangaruraju Kolanuvada Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

228890 Issued in NY

Legal business name

BANGARURAJU KOLANUVADA MEDICAL PC

Practice address

970 N Broadway Ste 206
Yonkers, NY 10701-1310

Phone

(914) 969-7100

NPI assigned

Jan 29, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Bangaruraju Kolanuvada

Title

MD

Phone

(914) 720-1047

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1528566254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FOREST BLVD",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N BROADWAY STE 206",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011310",
            "telephone_number": "914-969-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "514 Gramatan Ave Apt P3",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "NY",
            "postal_code": "105523052",
            "country_code": "US",
            "telephone_number": "914-699-7427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BANGARURAJU KOLANUVADA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "KOLANUVADA",
        "authorized_official_first_name": "BANGARURAJU",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "914-720-1047",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "228890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02499383",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Ann Clancy Ball, FNP
• Roger Ball, LCSW
• Emma Keast Banasiak, MD
• Gilray Dizon Banawis, RPT
• Harmanpreet Bandesha, DO
• Alyssa Michele Bangel, OTR/L
• Isatu Bangura
• Annabelle Banievicz
• Barbara Griffith, M.D., P.C.
• Kirsten Ann Barbera, MA;CCC-SLP;TSHH

• Internal Medicine Physician in Yonkers, NY
• Providers in Yonkers, 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 Mar 17, 2018; 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.