Chelliah, Thandavababu

Chelliah, Thandavababu is an individual health care provider with primary practice located at 2601 Ocean Pkwy , Brooklyn NY 11235-7745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Chelliah, Thandavababu can be contacted via phone (718) 616-4408.

Contact Information

Primary practice address
2601 Ocean Pkwy Brooklyn NY 11235-7745
Fax: (718) 616-4105
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 238914 New York

Profile Details

NPI number 1730100744
LBN Legal business name Chelliah, Thandavababu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Jul 8th, 2007 - about 18 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 1730100744 NPPES
New York MEDICAID 02744329

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