Chandrakant, Vijaya Lakshmi
Chandrakant, Vijaya Lakshmi is an sole proprietor health care provider with primary practice located at 1468 Richmond Ave Suite B, Staten Island NY 10314-1550. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Chandrakant, Vijaya Lakshmi can be contacted via phone (718) 982-8922.Contact Information
Primary practice address
1468 Richmond Ave Suite B
Staten Island NY 10314-1550
Phone: (718) 982-8922
Fax: (718) 982-9063
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 141332 | New York |
Profile Details
| NPI number | 1275516395 |
|---|---|
| LBN Legal business name | Chandrakant, Vijaya Lakshmi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Dec 2nd, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275516395 | NPPES |
| New York | MEDICAID | 00480075 |
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