Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 246986 | NY |
N | 111NI0900X | Internist | 246986 | NY |
Y | 207RN0300X | Nephrologist | 246986 | NY |
NPI | 1023281342 |
---|---|
Provider Name | Daniel Joseph Addanki |
First Address | Bronx, NY 10458-1000 |
Second Address | Bronx, NY 10453-4303 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2008 |
Last Update Date | 22/09/2016 |