1609942986 NPI number — DR. KENNETH KARAMCHAND HANSRAJ MD

Table of content: (NPI 1417413824)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609942986 NPI number — DR. KENNETH KARAMCHAND HANSRAJ MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HANSRAJ
Provider First Name:
KENNETH
Provider Middle Name:
KARAMCHAND
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
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:
1609942986
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/15/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
243 NORTH ROAD
Provider Second Line Business Mailing Address:
SUITE 202S
Provider Business Mailing Address City Name:
POUGHKEEPSIE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12601
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-471-9200
Provider Business Mailing Address Fax Number:
845-471-1551

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
243 NORTH ROAD
Provider Second Line Business Practice Location Address:
SUITE 202S
Provider Business Practice Location Address City Name:
POUGHKEEPSIE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-471-9200
Provider Business Practice Location Address Fax Number:
845-471-1551
Provider Enumeration Date:
11/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X , with the licence number:  2021110 , 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)

  • Identifier: 01840440 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 610325500 . This is a "OWCP DEPT OF LABOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 960523 . This is a "MVP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P00234296 . This is a "MEDICARE RAILROAD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 10047504 . This is a "CDPHP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com