Individual
VENKATACHALA PATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1874 PELHAM PKWY SOUTH, SUITE LM, BRONX, NY 10461-3733
(718) 931-8500
(718) 931-0823
Mailing address
1874 PELHAM PKWY SOUTH, SUITE LM, BRONX, NY 10461-3733
(718) 931-8500
(718) 931-0823
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
114601
NY
207RC0000X
Cardiovascular Disease Physician
114601
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
114601
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00424575
—
NY
Enumeration date
05/17/2007
Last updated
09/11/2025
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