Individual
DR. ANAND EMMANUEL KAKKANATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 ROBINSON AVE, NEWBURGH, NY 12550-3353
(845) 565-1989
(845) 863-0072
Mailing address
320 ROBINSON AVE, NEWBURGH, NY 12550-3353
(845) 565-1989
(845) 863-0072
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
239900
NY
2085R0202X
Diagnostic Radiology Physician
Primary
239900
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02846091
—
NY
01
—
P00607230
RAILROAD MEDICARE
NY
Enumeration date
12/09/2006
Last updated
07/21/2010
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