Gangadharan, Sandeep
Gangadharan, Sandeep is an individual health care provider with primary practice located at Columbia University Department Pediatric 3959 Broadway, New York NY 10032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Gangadharan, Sandeep can be contacted via phone (212) 304-7250.Contact Information
Primary practice address
Columbia University Department Pediatric 3959 Broadway
New York NY 10032
Phone: (212) 304-7250
Fax: (212) 544-1974
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 229274 | New York |
Profile Details
| NPI number | 1760458228 |
|---|---|
| LBN Legal business name | Gangadharan, Sandeep |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760458228 | NPPES |
| New York | MEDICAID | 02705168 |
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