Chockalingam, Mirabai

Chockalingam, Mirabai is an sole proprietor health care provider with primary practice located at 2828 Baird Rd , Fairport NY 14450-1247. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Chockalingam, Mirabai can be contacted via phone (585) 586-2355.

Contact Information

Primary practice address
2828 Baird Rd Fairport NY 14450-1247
Fax: (585) 586-2922
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 205759 New York

Profile Details

NPI number 1245263318
LBN Legal business name Chockalingam, Mirabai
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2006
Last updated Aug 2nd, 2013 - about 13 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 1245263318 NPPES
New York MEDICAID 01943613

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