MEDICARE: DR. PRATAP KUMAR GADANGI 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	174400000X	Specialist	217129	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1982621512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRATAP KUMAR GADANGI MD

Provider Business Mailing Address
First Line	:	23 FOSTER AVENUE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314
Country	:	US
Telephone Number	:	718-698-9665
Fax Number	:

Provider Business Practice Location Address
First Line	:	2818 OCEAN AVE
Second Line	:	7
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3170
Country	:	US
Telephone Number	:	718-332-6207
Fax Number	:	718-332-2923

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

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	08/06/2021

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