Provider Demographics
NPI:1609850346
Name:CHADHA, MANJEET (MD)
Entity Type:Individual
Prefix:
First Name:MANJEET
Middle Name:
Last Name:CHADHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 E 42ND ST
Mailing Address - Street 2:FL 10
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-5626
Mailing Address - Country:US
Mailing Address - Phone:212-844-8022
Mailing Address - Fax:212-844-6306
Practice Address - Street 1:10 UNION SQ E
Practice Address - Street 2:4F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:212-844-8022
Practice Address - Fax:212-844-6306
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1623322085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01355779Medicaid
NY83D89ER881Medicare PIN
NYA64465Medicare UPIN
NY83D8912661Medicare PIN