Provider Demographics
NPI:1497999544
Name:KURUGUNDLA, NAVATHA (MD)
Entity Type:Individual
Prefix:
First Name:NAVATHA
Middle Name:
Last Name:KURUGUNDLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1315 WHITEHORSE MERCERVILLE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-3815
Mailing Address - Country:US
Mailing Address - Phone:609-853-7272
Mailing Address - Fax:608-853-7271
Practice Address - Street 1:1315 WHITEHORSE MERCERVILLE RD STE 100
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-3815
Practice Address - Country:US
Practice Address - Phone:609-853-7272
Practice Address - Fax:609-853-7271
Is Sole Proprietor?:No
Enumeration Date:2009-04-20
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08689400207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease