Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 197956 | NY |
N | 111NI0900X | Internist | 197956 | NY |
Y | 207RH0002X | Hospice and Palliative Medicine | 197956 | NY |
NPI | 1043221674 |
---|---|
Provider Name | Dr. Suneetha Chowdary |
First Address | Douglaston, NY 11362-2620 |
Second Address | Brooklyn, NY 11235 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 16/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01729340 | (05) | NY |
G46675 | (02) | NY |