Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | 276922 | NY |
Y | 208000000X | Pediatrician | 276922 | NY |
NPI | 1013207406 |
---|---|
Provider Name | Kunal Chadha |
First Address | Buffalo, NY 14203-1009 |
Second Address | Buffalo, NY 14203-1021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2011 |
Last Update Date | 19/01/2021 |