MEDICARE: BINAYA SHRESTHA 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
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	239631	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P00397015	OTHER	NY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P2455057	OTHER	NY	OXFORD
2	2118458	OTHER	NY	UNITED HEALTHCARE
3	2622849798	OTHER	NY	EMPIRE PLAN
4	6011384	OTHER	NY	MVP HEALTHCARE
6	0155407	OTHER	NY	GHI PPO
7	116069	OTHER	NY	GHI HMO
8	239631-A26	OTHER	NY	HEALTHFIRST
9	3X8991	OTHER	NY	BC/BS
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	1000041722	OTHER	NY	AFFINITY
12	262849798	OTHER	NY	MAGNACARE
13	7940122	OTHER	NY	AETNA PPO
14	410004P	OTHER	NY	HIP
15	1474000	OTHER	NY	AETNA HMO
16	262849798	OTHER	NY	HUDSON HEALTH PLAN

General Provider Information

NPI Number	:	1346343639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BINAYA SHRESTHA MD

Provider Business Mailing Address
First Line	:	356 CENTRAL PARK AVE
Second Line	:	UNIT E-1
City	:	SCARSDALE
State	:	NY
Zip	:	10583-1342
Country	:	US
Telephone Number	:	914-874-5074
Fax Number	:	914-874-5074

Provider Business Practice Location Address
First Line	:	3410-3418 BROADWAY
Second Line	:	2ND FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10031
Country	:	US
Telephone Number	:	212-283-2099
Fax Number	:	212-234-2939

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

Provider Enumeration Date	:	09/05/2006
Last Update Date	:	09/17/2008

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