National Provider Identifier
Kanakadurga R Poduri, MD
Kanakadurga R Poduri, MD is listed in the NPPES registry with a primary specialty of Physical Medicine & Rehabilitation Physician in Rochester, NY and a listed phone number of (585) 275-3271.
Profile Overview
- NPI
- 1285612184
- Provider Type
- Individual
- Primary Specialty
- Physical Medicine & Rehabilitation Physician
- Enumeration Date
- January 03, 2006
- Last Updated
- December 19, 2022
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0002
Phone: (585) 275-3271
Mailing Address
- 601 Elmwood Ave
- Box 664
- Rochester, NY 14642-0001
Specialties
- Physical Medicine & Rehabilitation Physician (208100000X)
- Rehabilitation Practitioner (225400000X)
Full Record
- NPI
- 1285612184
- Entity Type
- Individual
- Last Name
- Poduri
- First Name
- Kanakadurga
- Middle Name
- R
- Credential
- MD
- Mailing Street Address
- 601 Elmwood Ave
- Mailing Address Line 2
- Box 664
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-3271
- Mailing Fax
- (585) 442-2949
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0002
- Practice Country
- US
- Practice Phone
- (585) 275-3271
- Practice Fax
- (585) 442-2949
- Enumeration Date
- January 03, 2006
- Last Updated
- December 19, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 19, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Medicine & Rehabilitation Physician (208100000X), Rehabilitation Practitioner (225400000X)
- Other Identifiers
- 00944110 (NY)