Individual
DR. VENKATESH SASTHAKONAR ESACKIMUTHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D;
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-4374
Mailing address
1560 208TH ST, BAYSIDE, NY 11360-1120
(347) 235-4119
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
002823
NY
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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