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Contact Information

KRISTAPPA SANGAVARAM, MD
303 MOLNAR DRIVE
1ST FLOOR
ELMWOOD PARK, NJ07407
 Phone: 201-796-4007
 Fax: 201-796-4080
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for KRISTAPPA SANGAVARAM · (Male)

NPI Number 1376635722
Status Active
Credentials MD
Entity Individual
Enumeration date 09/29/2006
Last updated 07/27/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA05589800
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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