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General NPI Number Information
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NPI Number | 1912106964
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Entity Type | Organization
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Legal Business Name | MADHUMATI R KALAVAR, MD, PC
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 11/20/2014
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Provider Practice Location Address
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Address Line | 566 SCHENECTADY AVE
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City | BROOKLYN
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State | NY
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Zip | 11203-1821
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Country | US
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Telephone | 718-483-8360
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Fax |
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Provider Business Mailing Address
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Address Line | 543 LINCOLN AVE
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-3303
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Country | US
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Telephone | 516-481-2559
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. MADHUMATI R KALAVAR
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Credential |
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Telephone | 718-469-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 190911
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License Number State | NY
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