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GANGADHAR MADUPU M.D.
NPI 1114017969
Psychiatry & Neurology - Neurology in Rome, NY

Active since October 13, 2006
1617 N JAMES ST, ROME, NY 13440(315) 533-1025(315) 533-1006 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gangadhar Madupu M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GANGADHAR MADUPU M.D. (NPI 1114017969) is an individual neurology provider in Rome, New York, licensed in New York (216519) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1114017969
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameGANGADHAR MADUPUCredential: M.D.
Location Address1617 N JAMES STRome, NY 13440-2852
Mailing Address1617 N James StRome, NY 13440-2852 · (315) 533-1025 · Fax (315) 533-1006
Phone(315) 533-1025
Fax(315) 533-1006
Sole ProprietorYes
Enumeration DateOctober 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114017969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NY · 216519
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1617 N JAMES ST, Rome, NY 13440
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Other Identifiers 6

Other3099103Ghi
Other13625NY · Mvp
Medicaid02112967NY
Other10049766Cdphp
Medicare ID-Type UnspecifiedCC4707
Medicare UPINH33026

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ANTONINA LOUISE CALCAVECCHIO D.O.
Family Medicine
1617 N JAMES ST
ROME, NY 13440
Oneida County (315) 336-8260
ROME MEDICAL PRACTICE
Surgery
1617 N JAMES ST, SUITE 700
ROME, NY 13440
Oneida County (315) 337-0202
MICHAEL TAN MD PC
Orthopaedic Surgery
1617 N JAMES ST, SUITE 900
ROME, NY 13440
Oneida County (315) 337-2903
SURGICAL ASSOCIATES OF ROME MD PC
Surgery
1617 N JAMES ST, SUITE 300
ROME, NY 13440
Oneida County (315) 337-0540
ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
Urology
1617 N JAMES ST, SUITE 300
ROME, NY 13440
Oneida County (315) 337-2204
ROBERT E ALESSI MD
Allergy & Immunology
1617 N JAMES ST, SUITE 550
ROME, NY 13440
Oneida County (315) 336-3380
JASKIRT KAUR CHAHAL PHYSICIAN ASSISTANT
Physician Assistant
1617 N JAMES ST
ROME, NY 13440
Oneida County (315) 337-0539
ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
Urology
1617 N JAMES ST, SUITE 900
ROME, NY 13440
Oneida County (315) 336-0499

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gangadhar Madupu's NPI number?

The NPI number for Gangadhar Madupu is 1114017969. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Gangadhar Madupu located?

Gangadhar Madupu practices at 1617 N James St, Rome, NY 13440. The listed phone number is (315) 533-1025.

What is Gangadhar Madupu's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Gangadhar Madupu was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.