| Chadha Physician Pc | |
|
11203 Queens Blvd Suite 201 Forest Hills NY 11375-5550 | |
| (718) 544-6660 | |
| (718) 544-6670 |
| Full Name | Chadha Physician Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11203 Queens Blvd, Forest Hills, New York |
| Authorized Official Name and Position | Jang B Chadha (PRESIDENT) |
| Authorized Official Contact | 7185446660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chadha Physician Pc 11203 Queens Blvd Suite 201 Forest Hills NY 11375-5550 Ph: (718) 544-6660 | Chadha Physician Pc 11203 Queens Blvd Suite 201 Forest Hills NY 11375-5550 Ph: (718) 544-6660 |
| NPI Number | 1518139674 |
|---|---|
| Provider Enumeration Date | 03/28/2008 |
| Last Update Date | 11/14/2016 |
| Medicare PECOS PAC ID | 9335116508 |
|---|---|
| Medicare Enrollment ID | O20040916000220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518139674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 149446 (New York) | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | 149446 (New York) | Secondary |
| Provider Name | Jang Chadha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376672287 PECOS PAC ID: 3779550959 Enrollment ID: I20050321000966 |
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