Pradeepa Arivazhagan, MD is a
General Practice physician based in Maspeth, New York. Pradeepa Arivazhagan is licensed to practice in New York (license number P100907) and her current practice location is 6995 Queens Midtown Expy, Maspeth, New York. She can be reached at her office (for appointments etc.) via phone at
(609) 647-6038.
NPI number for Pradeepa Arivazhagan is 1518528603 and her current mailing address is 4545 40th St Apt 3r, Sunnyside, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518528603.
Physician's Profile
Full Name | Pradeepa Arivazhagan |
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Gender | Female |
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Speciality | General Practice |
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Location | 6995 Queens Midtown Expy, Maspeth, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518528603
- Provider Enumeration Date: 06/27/2019
- Last Update Date: 06/28/2019
Medical Identifiers
Medical identifiers for Pradeepa Arivazhagan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518528603 | NPI | - | NPPES |
P100907 | Other | NY | UNIVERSITY OF THE STATE OF NEW YORK, THE STATE EDUCATION DEPARTMENT |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | P100907 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pradeepa Arivazhagan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Pradeepa Arivazhagan, MD 4545 40th St Apt 3r, Sunnyside, NY 11104-3919 Ph: (609) 647-6038 | Pradeepa Arivazhagan, MD 6995 Queens Midtown Expy, Maspeth, NY 11378-1922 Ph: (609) 647-6038 |
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