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Individual

DR. CHAITANYA KADIYALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
374 STOCKHOLM ST, C/O FACULTY PRACTICE, BROOKLYN, NY 11237-4006
(718) 963-6551
(718) 963-6793
Mailing address
565 PLANDOME ROAD, SUITE 306, MANHASSET, NY 11030
(646) 355-4450
(718) 963-6793

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
232151
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02555342
NY
Enumeration date
03/14/2006
Last updated
02/23/2017
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