Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 215479 | NY |
NPI | 1013176692 |
---|---|
Provider Name | Dr. Sunita Chadha |
First Address | Williamsville, NY 14221 |
Second Address | Williamsville, NY 14221 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2008 |
Last Update Date | 01/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01994834 | (05) | NY |
J100026158 | PTAN (01) | NY |