| Arvind Chandrakantan, MD | |
| 100 Nicolls Rd # Hsc, L4 Rm 060, Stony Brook, NY 11794-8480 | |
| (631) 444-2975 | |
| Not Available | 
| Full Name | Arvind Chandrakantan | 
|---|---|
| Gender | Male | 
| Speciality | Anesthesiology | 
| Location | 100 Nicolls Rd # Hsc, Stony Brook, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1598962391 | NPI | - | NPPES | 
| 259484 | Other | NY | NY STATE LICENSE # | 
| 3041847 | Medicaid | TN | |
| ME102028 | Other | TN | STATE LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | 259484 (New York) | Secondary | 
| 207L00000X | Anesthesiology | 44772 (Tennessee) | Primary | 
| Entity Name | Texas Childrens Physician Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1861675506 PECOS PAC ID: 4385722081 Enrollment ID: O20080422000209 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Arvind Chandrakantan, MD Po Box 1559, Stony Brook Anaesthesiology, Stony Brook, NY 11790-0989 Ph: (631) 444-2975 | Arvind Chandrakantan, MD 100 Nicolls Rd # Hsc, L4 Rm 060, Stony Brook, NY 11794-8480 Ph: (631) 444-2975 | 
| Dr. Frederick R Lehman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Nicholls Road Health Science Center L4-080, Stony Brook, NY 11794 Phone: 631-444-2976 | |
| Malwina Wloch, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Nicolls Rd, Suny At Stony Brook - Department Of Anesthesiology, Stony Brook, NY 11794 Phone: 631-444-2968 | |
| Dr. Daryn Moller, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Health Sciences Center L4 #060, Stony Brook, NY 11794 Phone: 631-444-2975 | |
| Michelle Delemos, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Stony Brook University Medical Center, 100 Nicolls Road, Hsc, L4, Rm 060, Stony Brook, NY 11794 Phone: 631-444-2975 | |
| Amruta G. Desai, DO, MPH, MBA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-444-2975 Fax: 631-444-2907 | |
| Dr. Lauren Fleischer, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Health Sciences Ctr, L4, #060, Stony Brook, NY 11794 Phone: 631-444-2975 | |
| Sofia Geralemou, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Stony Brook Anaesthesiology Ufpc 100 Nicolls Rd, Stony Brook University Medical Center, Hsc, L4, Rm 060, Stony Brook, NY 11794 Phone: 631-444-2975 Fax: 631-444-6031 |