MEDICARE: DR. SUHAS MADHUKAR NAFDAY 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	208000000X	Pediatrics Physician	214431	NY
2	2080N0001X	Neonatal-Perinatal Medicine Physician	214431	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023069218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUHAS MADHUKAR NAFDAY M.D.

Provider Business Mailing Address
First Line	:	1825 EASTCHESTER RD
Second Line	:	SUITE 725
City	:	BRONX
State	:	NY
Zip	:	10461-2301
Country	:	US
Telephone Number	:	718-904-4105
Fax Number	:	718-904-2659

Provider Business Practice Location Address
First Line	:	1825 EASTCHESTER RD
Second Line	:	SUITE 725
City	:	BRONX
State	:	NY
Zip	:	10461-2301
Country	:	US
Telephone Number	:	718-904-4105
Fax Number	:	718-904-2659

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

Provider Enumeration Date	:	05/13/2006
Last Update Date	:	06/02/2010

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