Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 246977 | NY |
N | 111NI0900X | Internist | 246977 | NY |
N | 207RC0200X | Critical Care Medicine | 246977 | NY |
N | 207RP1001X | Pulmonary Disease | 246977 | NY |
Y | 207RS0012X | Sleep Medicine | 246977 | NY |
NPI | 1275531931 |
---|---|
Provider Name | Dr. Arunakumari Penumadu |
First Address | Astoria, NY 11102 |
Second Address | Long Island City, NY 11102-2448 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 27/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02719419 | (05) | NY |