Provider Demographics
NPI:1780768713
Name:CHADDAH, ANURADHA L (MD,JD,MPH)
Entity type:Individual
Prefix:DR
First Name:ANURADHA
Middle Name:L
Last Name:CHADDAH
Suffix:
Gender:F
Credentials:MD,JD,MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 W 57TH ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3159
Mailing Address - Country:US
Mailing Address - Phone:212-307-6880
Mailing Address - Fax:212-247-6318
Practice Address - Street 1:333 W 57TH ST
Practice Address - Street 2:SUITE 104
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3159
Practice Address - Country:US
Practice Address - Phone:212-307-6880
Practice Address - Fax:212-247-6318
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY234427-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine