| Gautam V Shrikhande, MD | |
| 5645 Main St, W-ll300, Flushing, NY 11355-5045 | |
| (718) 303-6100 | |
| (718) 939-1167 | 
| Full Name | Gautam V Shrikhande | 
|---|---|
| Gender | Male | 
| Speciality | Surgery - Vascular Surgery | 
| Location | 5645 Main St, Flushing, 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 | 
|---|---|---|---|
| 1427016088 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 249153 (New York) | Primary | 
| Entity Name | Newyork-presbyterian-queens | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1013960962 PECOS PAC ID: 7315839933 Enrollment ID: O20040329000273 | 
| Entity Name | New York Queens Medicine And Surgery, P.c. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1003114851 PECOS PAC ID: 4082883673 Enrollment ID: O20110817000163 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Gautam V Shrikhande, MD 5645 Main St, W-ll300, Flushing, NY 11355-5045 Ph: (718) 303-6100 | Gautam V Shrikhande, MD 5645 Main St, W-ll300, Flushing, NY 11355-5045 Ph: (718) 303-6100 | 
| Dr. Frederic Weinbaum, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5645 Main St, Rm-m204, Flushing, NY 11355 Phone: 718-445-0220 Fax: 718-939-1167 | |
| Teagan Lynn Thorson, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 425-246-8328 | |
| Steven Yeh-geng Chao, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5645 Main St, W-ll300, Flushing, NY 11355 Phone: 718-445-0220 Fax: 718-939-1167 | |
| Li Tong Du, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-445-0220 Fax: 718-939-1167 | |
| Dr. Chih-ching Hsu, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4260 Main St, Medical Plaza, Suite B, Flushing, NY 11355 Phone: 718-886-4171 Fax: 718-886-4514 | |
| Stephen Merola, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-445-0220 Fax: 718-939-1167 | |
| Dr. Rafael Fazylov, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5645 Main St, Rm M204, Flushing, NY 11355 Phone: 718-445-0220 Fax: 718-939-1167 |