MEDICARE: ANAND D NADKARNI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	163173	NY

General Provider Information

NPI Number	:	1982779864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANAND D NADKARNI M.D.

Provider Business Mailing Address
First Line	:	281 PHELPS LN
Second Line	:
City	:	NORTH BABYLON
State	:	NY
Zip	:	11703-4005
Country	:	US
Telephone Number	:	631-422-7676
Fax Number	:	631-422-7609

Provider Business Practice Location Address
First Line	:	1444 5TH AVE
Second Line	:
City	:	BAY SHORE
State	:	NY
Zip	:	11706-4147
Country	:	US
Telephone Number	:	631-647-3100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2006
Last Update Date	:	03/17/2018

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