Individual
DR. KAMESWARI AMARAVADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
22217 BRADDOCK AVE, QUEENS VILLAGE, NY 11428-1409
(718) 217-1930
(718) 217-1846
Mailing address
5025 186TH ST, FRESH MEADOWS, NY 11365-1610
(718) 217-1930
(718) 217-1846
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
191527
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01623656
—
NY
01
—
100196194501
UNITED HEALTHCARE CHP
NY
01
—
1201269
EMPIRE PLAN
NY
01
—
191527-A27
HEALTHFIRST
NY
01
—
244517
WELLCARE
NY
01
—
2696045
GHI
NY
01
—
26P7911
NYPCHP
NY
01
—
2892
AFFINITY
NY
01
—
2C0285
HEALTHNET
NY
01
—
54064NH
HIP
NY
01
—
55386
EMPIRE BLUE CROSS BLUE SH
NY
01
—
576845
AETNA
NY
01
—
AK1527
ATLANTIS
NY
01
—
P793594
OXFORD
NY
01
—
QN0057202
AMERICHOICE
NY
Enumeration date
09/26/2006
Last updated
07/08/2007
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