JANAKI KANUMILLI, MD P.C.
Managed Care Organizations at 71 Rd, Flushing, NY

License number
New York 222149
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: MRS. JANAKI KANUMILLI MD
Title: PRESIDENT
Phone: (718) 268-1458
Address
Address
11050 71St Rd SUITE 1B, Flushing, NY 11375
National Provider ID: 1255627725
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JANAKI KANUMILLI MD PC

Flushing, NY

Registration:
Nov 4, 2004
Addresses:
110-50 71 Rd STE 1B, Forest Hills, NY 11375 (Physical)
110-50 71 St STE 1B, Forest Hills, NY 11375 (Physical)
State ID:
3122322
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Janaki Kanumilli Md, 110-50 71 Rd STE 1B, Forest Hills, NY 11375 (Physical)

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