Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 270923 | NY |
N | 207XS0106X | Orthopaedic Hand Surgeon | 270923 | NY |
Y | 2086S0105X | Surgery of the Hand | 270923 | NY |
NPI | 1679520381 |
---|---|
Provider Name | Rajendra Kumar Kadiyala |
First Address | New York, NY 10032-3720 |
Second Address | New York, NY 10032-3729 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2006 |
Last Update Date | 03/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1679520381 | NPI NUMBER (01) | NY |
270134100 | (05) | FL |
G26417 | (02) |