Healthcare Provider Details

I. General information

NPI: 1639127467
Provider Name (Legal Business Name): MEENU HOTCHANDANI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 11/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 NORTH RD
POUGHKEEPSIE NY
12601-1154
US

IV. Provider business mailing address

241 NORTH RD
POUGHKEEPSIE NY
12601-1154
US

V. Phone/Fax

Practice location:
  • Phone: 845-431-8743
  • Fax:
Mailing address:
  • Phone: 845-431-8743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number190010-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: