| Doctor Name: | DR. MADHAVI KADIYALA |
| NPI Number: | 1013182377 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 243823 |
| Business Practice Address: | 101 Northern Blvd Dematteis Center Greenvale, NY - 115481340 |
| Business Phone Number: | 5166224552 |
| Business Fax Number: | 5166224551 |
| Mailing Address: | 101 Northern Blvd, Dematteis Center GREENVALE |
| State: | NY |
| Postal Code: | 115481340 |
| Phone Number: | 5166224552 |
| Fax Number: | 5166224511 |
| NPI Enumeration Date: | 04/28/2008 |
| NPI Last Update Date: | 04/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RM1200X |
| License Number: | 243823 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
| Taxonomy Definition: | |