Provider Demographics
NPI:1649924770
Name:VEENA CHADDA MEDICAL OFFICES PLLC
Entity type:Organization
Organization Name:VEENA CHADDA MEDICAL OFFICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:VEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHADDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-421-5210
Mailing Address - Street 1:800 PALISADE AVE APT 24B
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-4111
Mailing Address - Country:US
Mailing Address - Phone:201-421-5210
Mailing Address - Fax:347-870-4074
Practice Address - Street 1:2202 GRAND CONCOURSE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-2000
Practice Address - Country:US
Practice Address - Phone:718-365-6260
Practice Address - Fax:347-270-4074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-08
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00197333Medicaid