Provider Demographics
NPI:1013986025
Name:ADI, PADMA (MD)
Entity type:Individual
Prefix:
First Name:PADMA
Middle Name:
Last Name:ADI
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 1:124 COMANCHE TRL
Mailing Address - Street 2:
Mailing Address - City:NISKAYUNA
Mailing Address - State:NY
Mailing Address - Zip Code:12309-2243
Mailing Address - Country:US
Mailing Address - Phone:518-395-9215
Mailing Address - Fax:518-395-9216
Practice Address - Street 1:2614 RIVER FRONT CENTER
Practice Address - Street 2:
Practice Address - City:AMSTERDAM
Practice Address - State:NY
Practice Address - Zip Code:12010
Practice Address - Country:US
Practice Address - Phone:518-627-0628
Practice Address - Fax:518-627-0628
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235516208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics