Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 192035 | NY |
N | 208600000X | Surgeon | 192035 | NY |
N | 2086S0102X | Surgical Critical Care | 192035 | NY |
Y | 2086S0127X | Trauma Surgeon | 192035 | NY |
NPI | 1396768768 |
---|---|
Provider Name | Akella Chendrasekhar |
First Address | Brooklyn, NY 11237 |
Second Address | Brooklyn, NY 11237 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 20/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0141143 | (05) | NY |
F67186 | (02) |