Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist |
NPI | 1841440047 |
---|---|
Provider Name | Dr. Chandrika Sreekantaiah |
First Address | Ossining, NY 10562-2101 |
Second Address | Shelton, CT 06484-6147 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2008 |
Last Update Date | 14/09/2009 |