Individual
THANDAVABABU CHELLIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-4408
(718) 616-4105
Mailing address
4249 COLDEN ST, APT 14E, FLUSHING, NY 11355-3902
(718) 939-2633
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
238914
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02744329
—
NY
Enumeration date
07/22/2006
Last updated
07/08/2007
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