Dr Manish Chadha, MD | |
640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 | |
(631) 737-0100 | |
(631) 471-1117 |
Full Name | Dr Manish Chadha |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 640 Hawkins Ave, Lake Ronkonkoma, 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 |
---|---|---|---|
1992903264 | NPI | - | NPPES |
03040755 | Medicaid | NY | |
001455880 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 045588 (New York) | Primary |
Entity Name | Peconic Bay Primary Medical Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487620613 PECOS PAC ID: 7113817602 Enrollment ID: O20040318000260 |
Entity Name | North Shore - Lij Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
---|---|
Dr Manish Chadha, MD 55 Water St, 2nd Floor Cred. Dept., New York, NY 10041-0004 Ph: (646) 680-2888 | Dr Manish Chadha, MD 640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 Ph: (631) 737-0100 |
Tara K Singh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-737-0100 Fax: 631-471-1117 | |
Michael Lee, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-737-0100 Fax: 631-417-1117 | |
Ms. Diana Kaplinsky, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-737-0100 Fax: 631-471-1117 | |
Marie T Pottanat, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 640 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-737-0100 Fax: 631-417-1117 | |
Mickel L Khlat, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-737-0100 Fax: 631-417-1117 | |
Joseph M Chandrankunnel, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 640 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-737-0100 Fax: 631-417-1117 | |
Anang Modi, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-737-0100 Fax: 631-417-1117 |