Healthcare Provider Details

I. General information

NPI: 1790726404
Provider Name (Legal Business Name): NALINI KANTH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 01/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 HEMPSTEAD TPKE
EAST MEADOW NY
11554-1859
US

IV. Provider business mailing address

2201 HEMPSTEAD TPKE
EAST MEADOW NY
11554-1859
US

V. Phone/Fax

Practice location:
  • Phone: 516-572-6131
  • Fax: 516-572-5793
Mailing address:
  • Phone: 516-572-6131
  • Fax: 516-572-5793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number202652
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: