Individual
DR. REEMA MAINDIRATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 W. MAIN STREET, SUITE 336, BABYLON, NY 11702
(631) 422-3675
(631) 422-3743
Mailing address
400 W MAIN ST, SUITE 336, BABYLON, NY 11702-3012
(631) 422-3675
(631) 422-3743
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
203259
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00S31
EMPIRE BC/BS PPO
NY
05
—
01766412
—
NY
01
—
130020366
RAILROAD MEDICARE
NY
01
—
2010522
USHC
NY
01
—
2C2173
HEALTHNET
NY
01
—
3099964
GHI
NY
01
—
32986P
HIP
NY
01
—
5288634
AETNA
NY
01
—
P-52814576
MULTIPLAN
NY
01
—
P670493
OXFORD
NY
Enumeration date
08/13/2008
Last updated
01/28/2010
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