Individual
ISAIARASI GNANASEKARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5548
(718) 579-4963
Mailing address
51 ROSE AVE, EASTCHESTER, NY 10709-3705
(914) 779-6342
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
151046
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01010360
—
NY
Enumeration date
11/16/2006
Last updated
07/08/2007
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