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NPI Code Detail

MEDICARE: DR. ANNABELLA THANTU M.D.

MEDICARE: DR. ANNABELLA THANTU 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
1208000000XPediatrics Physician196321NY

General Provider Information

NPI Number : 1679645527
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANNABELLA THANTU M.D.
Provider Business Mailing Address
First Line : 190B WILMOT RD
Second Line :
City : NEW ROCHELLE
State : NY
Zip : 10804-1517
Country : US
Telephone Number : 914-844-2535
Fax Number : 718-260-8630
Provider Business Practice Location Address
First Line : 265 ASHLAND PL
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-1661
Country : US
Telephone Number : 718-858-7200
Fax Number : 718-260-8630
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2006
Last Update Date : 03/05/2026

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