Organization
MANHATTAN MEDICAL PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAITANYA KADIYALA M.D. (CEO)
(917) 406-3069
Entity
Organization
Contact information
Practice address
989 W JERICHO TPKE STE 1, SMITHTOWN, NY 11787-3241
(917) 406-3069
Mailing address
565 PLANDOME RD # 286, MANHASSET, NY 11030-1945
(174) 063-0699
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
142907
NY
207L00000X
Anesthesiology Physician
Primary
232151
NY
207RG0100X
Gastroenterology Physician
232151
NY
Other
Enumeration date
08/26/2008
Last updated
12/04/2023
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