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NPI Code Detail

MEDICARE: DR. CHITRA MANGALPADY SHENOY M.D.

MEDICARE: DR. CHITRA MANGALPADY SHENOY 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
12084P0800XPsychiatry Physician141009NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
105G021OTHERNYMEDICARE PROVIDER#

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184724726
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHITRA MANGALPADY SHENOY M.D.
Provider Business Mailing Address
First Line : 7559 263RD ST
Second Line :
City : GLEN OAKS
State : NY
Zip : 11004-1150
Country : US
Telephone Number : 718-470-8481
Fax Number :
Provider Business Practice Location Address
First Line : 7559 263RD ST
Second Line :
City : GLEN OAKS
State : NY
Zip : 11004-1150
Country : US
Telephone Number : 718-470-8481
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2006
Last Update Date : 12/23/2013

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