MAMATHA R GOWDA, MD, Diagnostic Radiology HOBOKEN, NJ

Contact Information

MAMATHA R GOWDA, MD

308 WILLOW AVE
RADIOLOGY DEPARTMENT
HOBOKEN, NJ 07030-3808

Phone: 201-418-1820
Fax: 201-418-1822
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology

Indicates primary specialty

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NPI Profile & details for MAMATHA R GOWDA · (Female)

NPI Number	`1881630671`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	06/21/2006
Last updated	11/01/2007 - About 19 years ago
Sole proprietor ¹	No
Identifiers	NJ License # 25MA07771900 NJ Medicaid 0060551
Hospital affiliation(s)	BETH ISRAEL MEDICAL CENTER - (Acute Care) FIRST AVENUE AT 16TH STREET NEW YORK, NY 10003 MOUNT SINAI HOSPITAL - (Acute Care) ONE GUSTAVE L LEVY PLACE NEW YORK, NY 10029 SOUTH NASSAU COMMUNITIES HOSPITAL - (Acute Care) ONE HEALTHY WAY OCEANSIDE, NY 11572 ST LUKE'S ROOSEVELT HOSPITAL - (Acute Care) 1111 AMSTERDAM AVENUE NEW YORK, NY 10025

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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