Dheenadayalu, Kavitha

Dheenadayalu, Kavitha is an individual health care provider with primary practice located at 211 Erie St , Little Valley NY 14755-1011. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Dheenadayalu, Kavitha can be contacted via phone (716) 938-9666.

Contact Information

Primary practice address
211 Erie St Little Valley NY 14755-1011
Phone: (716) 938-9666
Fax: (716) 938-9668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 002148 New York

Profile Details

NPI number 1710966742
LBN Legal business name Dheenadayalu, Kavitha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 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 1710966742 NPPES
New York MEDICAID 02569464

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