Provider Demographics
NPI:1598510794
Name:ALLU, AADHYYANTH R
Entity type:Individual
Prefix:
First Name:AADHYYANTH R
Middle Name:
Last Name:ALLU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 BLOCK 36 A BOLLINENI HILLSIDE
Mailing Address - Street 2:NOOKAMPALAYAM CHENNAI - 126
Mailing Address - City:CHENNAI
Mailing Address - State:TAMILNADU
Mailing Address - Zip Code:600126
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:550 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-5506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program