Individual
SHANTHI GOVINDARAJ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 HEMPSTEAD TPKE, SUITE 500, EAST MEADOW, NY 11554-1724
(516) 542-1090
(516) 794-8165
Mailing address
355 BARD AVE, STATEN ISLAND, NY 10310-1664
(718) 818-3009
(718) 818-3201
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
115118
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
115118
NY
Other
Enumeration date
10/14/2005
Last updated
09/11/2025
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