IndividualActive
Padmavathy Kurra, MD
NPI 1205949468 · Geriatric Psychiatry Physician · Fair Lawn, NJ
Provider details
- NPI number
- 1205949468
- Entity type
- Individual
- Primary specialty
- Geriatric Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 25MA05120200 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
15-01 Broadway
Suite 10-B
Fair Lawn, NJ 07410-6003
Phone: (201) 794-7733
Fax: (201) 794-6039
Approximate (ZIP-level) locationGet directions
Mailing address
15-01 Broadway
Fair Lawn, NJ 07410-6003
Registry dates
- Enumerated
- 2006-08-15
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.