| Dhayaparan Medical P.c. | |
|
14203 60th Ave Flushing NY 11355-5301 | |
| (718) 353-0533 | |
| (718) 353-0506 |
| Full Name | Dhayaparan Medical P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 14203 60th Ave, Flushing, New York |
| Authorized Official Name and Position | Sellathurai Kanagarajah Dhayaparan (PRESIDENT) |
| Authorized Official Contact | 7185706976 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dhayaparan Medical P.c. 14203 60th Ave Flushing NY 11355-5301 Ph: (718) 353-0533 | Dhayaparan Medical P.c. 14203 60th Ave Flushing NY 11355-5301 Ph: (718) 353-0533 |
| NPI Number | 1043456841 |
|---|---|
| Provider Enumeration Date | 12/29/2008 |
| Last Update Date | 12/29/2008 |
| Medicare PECOS PAC ID | 5597829135 |
|---|---|
| Medicare Enrollment ID | O20090127000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043456841 | NPI | - | NPPES |
| 01822357 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 239481 (New York) | Primary |
| 208000000X | Pediatrics | 239481 (New York) | Secondary |
| Provider Name | Sellathurai K Dhayaparan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871528430 PECOS PAC ID: 6608779475 Enrollment ID: I20090127000471 |
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