Individual
DR. SULADA KANCHANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19 BAKER AVE STE 301, POUGHKEEPSIE, NY 12601-1385
(845) 483-5951
(845) 483-5775
Mailing address
19 BAKER AVE STE 301, POUGHKEEPSIE, NY 12601-1385
(845) 483-5951
(845) 483-5775
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
238686
NY
2084N0400X
Neurology Physician
MD424779
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02581639
—
NY
05
—
1010241530001
—
PA
Enumeration date
03/14/2006
Last updated
11/06/2023
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