| Kadkade Md Pllc | |
|
891 Northern Blvd Suite 203 Great Neck NY 11021-5334 | |
| (516) 669-7467 | |
| Not Available |
| Full Name | Kadkade Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 891 Northern Blvd, Great Neck, New York |
| Authorized Official Name and Position | Prajoy Kadkade (OWNER) |
| Authorized Official Contact | 5166697467 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kadkade Md Pllc 891 Northern Blvd Suite 203 Great Neck NY 11021-5334 Ph: (516) 669-7467 | Kadkade Md Pllc 891 Northern Blvd Suite 203 Great Neck NY 11021-5334 Ph: (516) 669-7467 |
| NPI Number | 1992108138 |
|---|---|
| Provider Enumeration Date | 10/02/2014 |
| Last Update Date | 01/07/2015 |
| Medicare PECOS PAC ID | 1951626597 |
|---|---|
| Medicare Enrollment ID | O20150203000212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992108138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 219617 (New York) | Primary |
| Provider Name | Prajoy Kadkade |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487687851 PECOS PAC ID: 1355318353 Enrollment ID: I20040910000192 |
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