| Organization Name: | METROPOLITAN MEDICAL PRACTICE PLAN PC |
| NPI Number: | 1306138383 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUDHA PENTYALA (DIRECTOR) |
| Mailing Address: | 1901 1st Ave New York |
| State: | NY US |
| Postal Code: | 100297404 |
| Phone Number: | 2124237337 |
| Fax Number: | 2124236318 |
| NPI Enumeration Date: | 05/09/2011 |
| NPI Last Update Date: | 05/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |