Individual
DR. VIVEKANAND KALANADHABHATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
443 LINDEN BLVD, BROOKLYN, NY 11203-2821
(718) 736-3591
(845) 252-9935
Mailing address
PO BOX 1050, NEW HYDE PARK, NY 11040-0322
(516) 761-7636
(718) 756-0545
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
182717
NY
207R00000X
Internal Medicine Physician
182717
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01468051
—
NM
Enumeration date
05/01/2006
Last updated
09/26/2014
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