Provider Demographics
NPI:1487687851
Name:KADKADE, PRAJOY (MD)
Entity Type:Individual
Prefix:DR
First Name:PRAJOY
Middle Name:
Last Name:KADKADE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:PRAJOY
Other - Middle Name:
Other - Last Name:KADKADE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:240 E 39TH ST APT 38E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-7210
Mailing Address - Country:US
Mailing Address - Phone:917-531-7316
Mailing Address - Fax:516-880-9521
Practice Address - Street 1:4543 43RD ST
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11104-2609
Practice Address - Country:US
Practice Address - Phone:516-472-0088
Practice Address - Fax:516-880-9521
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY219617207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY114767Medicare UPIN