Provider Demographics
NPI:1457390379
Name:VOLETI, RADHA K (MD,)
Entity Type:Individual
Prefix:DR
First Name:RADHA
Middle Name:K
Last Name:VOLETI
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 1:8002 165TH ST
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-1208
Mailing Address - Country:US
Mailing Address - Phone:718-380-7000
Mailing Address - Fax:718-380-7313
Practice Address - Street 1:14615 HORACE HARDING EXPY
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-1243
Practice Address - Country:US
Practice Address - Phone:718-380-7000
Practice Address - Fax:718-380-7313
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY216842207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02439623Medicaid
NY02439623Medicaid
NY06932GMedicare ID - Type Unspecified