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NPI Code Detail

MEDICARE: DR. KAMALINI ASIRWATHAM M.D

MEDICARE:  DR. KAMALINI  ASIRWATHAM  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
12084N0400XNeurology Physician231851NY
22084N0600XClinical Neurophysiology Physician231851NY

Other Identifiers

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

General Provider Information

NPI Number : 1487613493
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAMALINI ASIRWATHAM M.D
Provider Business Mailing Address
First Line : 34 ACADEMY PL
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10301-1854
Country : US
Telephone Number : 718-727-9670
Fax Number : 718-448-5396
Provider Business Practice Location Address
First Line : 34 ACADEMY PL
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10301-1854
Country : US
Telephone Number : 718-727-9670
Fax Number : 718-448-5396
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2006
Last Update Date : 09/11/2025

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