Dr Kunal Kumar Chawla, MD | |
1 Dakota Drive, Suite 310, Lake Success, NY 11042-0001 | |
(516) 622-6000 | |
Not Available |
Full Name | Dr Kunal Kumar Chawla |
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Gender | Male |
Speciality | Internal Medicine - Interventional Cardiology |
Location | 1 Dakota Drive, Lake Success, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265851448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 291611 (Massachusetts) | Secondary |
207RI0011X | Internal Medicine - Interventional Cardiology | 290643 (New York) | Primary |
Entity Name | Optum Medical Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
Mailing Address | Practice Location Address |
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Dr Kunal Kumar Chawla, MD 1 Dakota Drive, Suite 310, Lake Success, NY 11042 Ph: (516) 622-6000 | Dr Kunal Kumar Chawla, MD 1 Dakota Drive, Suite 310, Lake Success, NY 11042-0001 Ph: (516) 622-6000 |
Vincent Vinciguerra, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: The Monter Cancer Center, 450 Lakeville Road, Lake Success, NY 11042 Phone: 516-734-8954 | |
Lora Weiselberg, Internal Medicine Medicare: Medicare Enrolled Practice Location: The Monter Cancer Center, 450 Lakeville Road, Lake Success, NY 11042 Phone: 516-734-8963 | |
Steve W Rucker, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Ohio Drive, Suite 200, Lake Success, NY 11042 Phone: 516-775-4545 Fax: 516-775-4646 | |
Richard Stark, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1999 Marcus Ave, Ste 120, Lake Success, NY 11042 Phone: 516-466-6611 Fax: 516-466-9582 | |
Ummekalsoom Rahman Malik, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 Lakeville Rd, Ste 311, Lake Success, NY 11042 Phone: 516-358-2400 Fax: 516-358-5454 | |
Clifford Cooper, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2 Pro Health Plz, Lake Success, NY 11042 Phone: 516-622-6020 | |
Francisco Antonio Garcia-moreno, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 Lakeville Rd, Ste 311, Lake Success, NY 11042 Phone: 516-358-2400 Fax: 516-358-5454 |