Basic Information
| Provider Information | |||||||||
| NPI: | 1659710770 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SIKHARAM | ||||||||
| FirstName: | CHAITANYA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 284 7TH AVE APT 1A | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112153623 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3472516441 | ||||||||
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| Practice Location | |||||||||
| Address1: | 506 6TH ST | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112153609 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7187803279 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/21/2013 | ||||||||
| LastUpdateDate: | 07/21/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/23/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 096931 | NY | N | Allopathic & Osteopathic Physicians | Surgery | 207Q00000X | 35.134298 | OH | N | Allopathic & Osteopathic Physicians | Family Medicine | 208D00000X | 35.134298 | OH | N | Allopathic & Osteopathic Physicians | General Practice | 208D00000X | 56149 | CT | N | Allopathic & Osteopathic Physicians | General Practice | 208D00000X | 55174 | KY | N | Allopathic & Osteopathic Physicians | General Practice | 207L00000X | 096931 | NY | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.