Dr Sridhar B Kadiyala, MBBS, PHD | |
79 Middleville Rd, Northport, NY 11768 | |
(631) 261-4400 | |
Not Available |
Full Name | Dr Sridhar B Kadiyala |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 79 Middleville Rd, Northport, 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 |
---|---|---|---|
1619396793 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 292923 (New York) | Primary |
Entity Name | Stony Brook Psychiatric Associates University Faculty Practice Corpor |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437105905 PECOS PAC ID: 7315836731 Enrollment ID: O20040313000174 |
Mailing Address | Practice Location Address |
---|---|
Dr Sridhar B Kadiyala, MBBS, PHD 662 Veterans Hwy Apt 2f, Hauppauge, NY 11788-1224 Ph: (518) 763-7843 | Dr Sridhar B Kadiyala, MBBS, PHD 79 Middleville Rd, Northport, NY 11768 Ph: (631) 261-4400 |
Dr. Mani Krishnamurthi, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 79 Middleville Road, Northport, NY 11768 Phone: 631-261-4400 | |
Dr. Numthip Chitravas, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1066 Fort Salonga Rd, Northport, NY 11768 Phone: 216-269-5576 | |
Dr. Ede Frecska, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 | |
Dr. Murty Ayyala, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 | |
Dr. Roger Thomas Kallhovd, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 114 Soundview Ter, Northport, NY 11768 Phone: 631-754-7013 Fax: 631-754-7013 | |
Isabel M Tolentino-mirasol, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 | |
Dr. Anavel Osorio Carin, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 Fax: 631-486-6168 |