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NPI Code Detail

MEDICARE: VENKATESH SABHAE GANGADHARAPPA MD

MEDICARE: VENKATESH SABHAE GANGADHARAPPA MD
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
1207K00000XAllergy & Immunology Physician266495NY

General Provider Information

NPI Number : 1033442058
Entity Type Code : Individual
Provider Name (Legal Business Name) : VENKATESH SABHAE GANGADHARAPPA MD
Provider Business Mailing Address
First Line : 6039 LINDEN ST
Second Line :
City : RIDGEWOOD
State : NY
Zip : 11385-2527
Country : US
Telephone Number : 347-386-4777
Fax Number :
Provider Business Practice Location Address
First Line : 760 BROADWAY
Second Line :
City : BROOKLYN
State : NY
Zip : 11206-5317
Country : US
Telephone Number : 718-963-7956
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2009
Last Update Date : 04/08/2026

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