Kancherla, Pushpa L

Kancherla, Pushpa L is an individual health care provider with primary practice located at 1000 Tenth Avenue , New York NY 10019-1147. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is her primary health care specialty. Kancherla, Pushpa L can be contacted via phone (212) 523-4332.

Contact Information

Primary practice address
1000 Tenth Avenue New York NY 10019-1147
Phone: (212) 523-4332
Fax: (212) 523-4829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 121575 New York
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 149552 New York

Profile Details

NPI number 1083613111
LBN Legal business name Kancherla, Pushpa L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Mar 29th, 2012 - 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 1083613111 NPPES
New York Other A400064346 NGS
New York MEDICAID 01833701 NGS

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