Individual
NIRANJAN GUNASEKARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4250 HEMPSTEAD TPKE STE 17, BETHPAGE, NY 11714-5707
(516) 735-5522
Mailing address
4250 HEMPSTEAD TPKE, STE 17, BETHPAGE, NY 11714-5707
(516) 735-5522
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS14133
FL
207RN0300X
Nephrology Physician
Primary
286211
NY
208M00000X
Hospitalist Physician
143357
IL
Other
Enumeration date
04/12/2013
Last updated
01/14/2020
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