Provider Demographics
NPI:1619973948
Name:HADPAWAT, NARENDRA K (MD)
Entity Type:Individual
Prefix:DR
First Name:NARENDRA
Middle Name:K
Last Name:HADPAWAT
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 1:217 CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-2519
Mailing Address - Country:US
Mailing Address - Phone:516-295-0215
Mailing Address - Fax:
Practice Address - Street 1:135 ROCKAWAY TPKE
Practice Address - Street 2:STE 103
Practice Address - City:LAWRENCE
Practice Address - State:NY
Practice Address - Zip Code:11559-1023
Practice Address - Country:US
Practice Address - Phone:516-239-1616
Practice Address - Fax:516-239-2566
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY135196207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY48A57Medicare PIN