Individual
INDRANI PERSAUD UMADAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1797 PITKIN AVE, BROOKLYN, NY 11212-7839
(718) 971-1944
(718) 971-1945
Mailing address
1797 PITKIN AVE, BROOKLYN, NY 11212-7839
(718) 971-1944
(718) 971-1945
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
243236
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02935739
—
NY
01
—
243236
LICENSE
NY
Enumeration date
10/26/2006
Last updated
12/03/2023
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