Individual
DR. SANDEEP GANGADHARAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
COLUMBIA UNIVERSITY DEPARTMENT PEDIATRIC, 3959 BROADWAY, NEW YORK, NY 10032
(212) 304-7250
(212) 544-1974
Mailing address
2647 BROADWAY, NEW YORK, NY 10025-5063
(212) 961-1087
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
229274
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02705168
—
NY
Enumeration date
02/24/2006
Last updated
07/08/2007
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