Healthcare Provider Details

I. General information

NPI: 1982924403
Provider Name (Legal Business Name): LEKHRAJ B. KACHORIA MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2010
Last Update Date: 03/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1033 PITTSFORD-PALMYRA RD
MACEDON NY
14502-8218
US

IV. Provider business mailing address

1033 PITTSFORD-PALMYRA RD
MACEDON NY
14502-8218
US

V. Phone/Fax

Practice location:
  • Phone: 315-986-2100
  • Fax: 315-986-2100
Mailing address:
  • Phone: 315-986-2100
  • Fax: 315-986-0193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number125110
License Number StateNY

VIII. Authorized Official

Name: DR. LEKHRAJ B KACHORIA
Title or Position: PHYSICIAN/PRESIDENT
Credential: MD
Phone: 315-986-2100