Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 180506 | NY |
Y | 2084N0402X | Child Neurologist | 180506 | NY |
NPI | 1104864263 |
---|---|
Provider Name | Chaula Sunil Kharode |
First Address | Bethpage, NY 11714-3415 |
Second Address | Mineola, NY 11501-2529 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 24/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01836391 | (05) | NY |
A400042619 | MEDICARE PTAN (01) | NY |
H74666 | (02) | NY |