RIZWAN DUDEKULA M.D. NPI 1619383718

NPI Information

NPI: 1619383718
Provider Name: RIZWAN DUDEKULA, M.D.
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

Organization: MIDDLETOWN MEDICAL PC

PECOS Registration: Yes

Address:
111 MALTESE DR
MIDDLETOWN, NY
ZIP 10940
Phone: (845) 342-4774
Get Directions

Rizwan Dudekula, M.D. is a pulmonary disease internal medicine in Middletown, NY with 14 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Rizwan Dudekula, M.D. NPI is 1619383718. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

111 MALTESE DR
MIDDLETOWN, NY
ZIP 10940-141
Phone: (845) 342-4774

The NPI 1619383718 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/9/2014 and was last updated on 8/4/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		301766	NEW YORK	No
2	207RP1001X	Internal Medicine	Pulmonary Disease	301766	NEW YORK	Yes
3	207RS0012X	Internal Medicine	Sleep Medicine	301766	NEW YORK	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	301766	OTHER	NEW YORK	NYS LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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