Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RONNY KAFILUDDI, M.D., PHD
ActiveVascular Surgery · LATHAM, NY
Registration Details
- NPI Number
- 1679533400
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 24, 2006 (20.076625060095 yrs)
- Last Updated
- Sep 23, 2019
- License
-
256491 (NY)
Practice Information
- Address
-
711 TROY SCHENECTADY RD STE 202LATHAM, NY, 121102461Browse NY providers · Browse ZIP 12110
- Phone
- 5187823938
- Fax
- 5187823995
- Primary Specialty
-
Vascular Surgery
208VP0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.