Sadanandan, Swayamprabha

Sadanandan, Swayamprabha is an sole proprietor health care provider with primary practice located at 85 Radcliff Ave , Port Washington NY 11050-1616. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Sadanandan, Swayamprabha can be contacted via phone (718) 250-6074.

Contact Information

Primary practice address
85 Radcliff Ave Port Washington NY 11050-1616
Fax: (718) 250-6518
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 137345 New York

Profile Details

NPI number 1306893201
LBN Legal business name Sadanandan, Swayamprabha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2006
Last updated Jul 30th, 2013 - about 12 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 1306893201 NPPES
New York MEDICAID 00649752

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