1598840977 NPI number — PEDIATRIC ASSOC

Table of content: (NPI 1598840977)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598840977 NPI number — PEDIATRIC ASSOC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PEDIATRIC ASSOC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
USHA DEVI VEERAMACHANENI
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598840977
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/24/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
824 RTE 6
Provider Second Line Business Mailing Address:
DALMAX FORUM BUILDING
Provider Business Mailing Address City Name:
MAHOPAC
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10541
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-628-3477
Provider Business Mailing Address Fax Number:
845-682-1285

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
824 RTE 6
Provider Second Line Business Practice Location Address:
DALMAX FORUM BUILDING
Provider Business Practice Location Address City Name:
MAHOPAC
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10541
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-628-3477
Provider Business Practice Location Address Fax Number:
845-682-1285
Provider Enumeration Date:
10/26/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
VEERAMACHANENI
Authorized Official First Name:
USHA
Authorized Official Middle Name:
DEVI
Authorized Official Title or Position:
PHYSICIAN
Authorized Official Telephone Number:
845-628-3477

Provider Taxonomy Codes

  • Taxonomy code: 2080A0000X , with the licence number:  156524 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)