Kothandaram, Roshan

Kothandaram, Roshan is an sole proprietor health care provider with primary practice located at 474 Fulton Ave Ste 203 , Hempstead NY 11550-4101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kothandaram, Roshan can be contacted via phone (516) 884-4882.

Contact Information

Primary practice address
474 Fulton Ave Ste 203 Hempstead NY 11550-4101
Phone: (516) 884-4882
Fax: (516) 515-9903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 219486 New York

Profile Details

NPI number 1346325958
LBN Legal business name Kothandaram, Roshan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2006
Last updated Jul 21st, 2022 - about 2 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 1346325958 NPPES
New York MEDICAID 02132350

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