Basic Information
Provider Information
NPI: 1023056678
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ANANDU
FirstName: NANDINI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 400 EAST MAIN STREET
Address2: NORTHERN WESTCHESTER HOSPITAL
City: MT. KISCO
State: NY
PostalCode: 105490000
CountryCode: US
TelephoneNumber: 9146661200
FaxNumber: 9142427602
Practice Location
Address1: 400 E MAIN ST
Address2: NORTHERN WESTCHESTER HOSPITAL
City: MOUNT KISCO
State: NY
PostalCode: 105493417
CountryCode: US
TelephoneNumber: 9146661200
FaxNumber: 9142427602
Other Information
ProviderEnumerationDate: 06/04/2006
LastUpdateDate: 03/05/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X224739NYY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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