National Provider Identifier
Pradeepkumar Charla, MD, MS
Pradeepkumar Charla, MD, MS is listed in the NPPES registry with a primary specialty of Pediatric Cardiology Physician in Rochester, NY and a listed phone number of (585) 275-6108.
Profile Overview
- NPI
- 1043516735
- Provider Type
- Individual
- Primary Specialty
- Pediatric Cardiology Physician
- Enumeration Date
- January 28, 2011
- Last Updated
- July 17, 2023
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 275-6108
Mailing Address
- 601 Elmwood Ave Box 635
- Rochester, NY 14642-0001
Specialties
- Pediatric Cardiology Physician (2080P0202X)
- Adult Congenital Heart Disease Physician (207RA0002X)
- Cardiovascular Disease Physician (207RC0000X)
- Pediatric Cardiology Physician (2080P0202X)
Endpoints
- pcharla271157@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1043516735
- Entity Type
- Individual
- Last Name
- Charla
- First Name
- Pradeepkumar
- Name Prefix
- Dr.
- Credential
- MD, MS
- Mailing Street Address
- 601 Elmwood Ave Box 635
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-6108
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-6108
- Enumeration Date
- January 28, 2011
- Last Updated
- July 17, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 2
- 193200000X Multi-Specialty Group
- Taxonomy Group 3
- 193200000X Multi-Specialty Group
- Certification Date
- September 29, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Cardiology Physician (2080P0202X), Adult Congenital Heart Disease Physician (207RA0002X), Cardiovascular Disease Physician (207RC0000X), Pediatric Cardiology Physician (2080P0202X)