Provider Demographics
NPI:1881644755
Name:SRIPADA, PADMA (MD)
Entity Type:Individual
Prefix:
First Name:PADMA
Middle Name:
Last Name:SRIPADA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9152
Mailing Address - Street 2:COLUMBIA INTERNAL MEDICINE PLLC
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12309-0152
Mailing Address - Country:US
Mailing Address - Phone:518-391-2889
Mailing Address - Fax:518-391-2304
Practice Address - Street 1:2500 POND VW STE 202
Practice Address - Street 2:
Practice Address - City:CASTLETON
Practice Address - State:NY
Practice Address - Zip Code:12033-9776
Practice Address - Country:US
Practice Address - Phone:518-391-2889
Practice Address - Fax:518-391-2304
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY219899207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH30480Medicare UPIN