Arivazhagan, Pradeepa

Arivazhagan, Pradeepa is an individual health care provider with primary practice located at 6995 Queens Midtown Expy , Maspeth NY 11378-1922. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Arivazhagan, Pradeepa can be contacted via phone (609) 647-6038.

Contact Information

Primary practice address
6995 Queens Midtown Expy Maspeth NY 11378-1922
Phone: (609) 647-6038
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X P100907 New York

Profile Details

NPI number 1518528603
LBN Legal business name Arivazhagan, Pradeepa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2019
Last updated Jun 28th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518528603 NPPES
New York Other P100907 UNIVERSITY OF THE STATE OF NEW YORK, THE STATE EDUCATION DEPARTMENT

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