Chennareddy Md Pc

LBN: Chennareddy Md Pc
Chennareddy Md Pc is an health care organization with primary practice located at 10105 Lefferts Blvd Ste 203 , South Richmond Hill NY 11419-2014. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Chennareddy Md Pc can be contacted via phone (718) 441-8086, or through Luke, Raefeal Noah via phone (646) 883-0422.

Contact Information

Primary practice address
10105 Lefferts Blvd Ste 203 South Richmond Hill NY 11419-2014
Phone: (718) 441-8086
Fax: (718) 250-6036
Website:
Map and Directions
Authorized official contact:
Name: Luke, Raefeal Noah
Phone: (646) 883-0422

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 112288 New York

Profile Details

NPI number 1356360382
LBN Legal business name Chennareddy Md Pc
DBA Doing business as
Authorized official Luke, Raefeal Noah
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2006
Last updated May 2nd, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356360382 NPPES
New York MEDICAID 00203118

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