Provider Demographics
NPI:1407891211
Name:CHHEDA, VASANT (MD)
Entity Type:Individual
Prefix:
First Name:VASANT
Middle Name:
Last Name:CHHEDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 CUTTERMILL RD
Mailing Address - Street 2:SUITE # 232
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-3252
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15 CUTTERMILL RD
Practice Address - Street 2:SUITE # 232
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-3252
Practice Address - Country:US
Practice Address - Phone:516-829-4522
Practice Address - Fax:516-706-0636
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY159632-1207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology