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
Fax: (718) 982-9063
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275516395 NPPES
New York MEDICAID 00480075

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