Individual
DR. ANANT V INDARAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1575 HILLSIDE AVE, NEW HYDE PARK, NY 11040-2521
(516) 358-7210
(516) 352-2596
Mailing address
10 CARRIAGE DR, OLD WESTBURY, NY 11568-1323
(516) 358-7210
(516) 352-2596
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
191398
NY
Other
Enumeration date
06/02/2006
Last updated
02/26/2021
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