Provider Demographics
NPI:1982278313
Name:ADILA, UNKNOWN
Entity Type:Individual
Prefix:DR
First Name:UNKNOWN
Middle Name:
Last Name:ADILA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ADILA
Other - Middle Name:KUNHABDULLA
Other - Last Name:CHAMAVALIYATHIL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MBBS
Mailing Address - Street 1:79-01 BROADWAY ELMHURST HOSPITAL CENTER
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373
Mailing Address - Country:US
Mailing Address - Phone:718-334-2156
Mailing Address - Fax:718-334-2862
Practice Address - Street 1:WESTCHESTER MEDICAL CENTER
Practice Address - Street 2:100 WOODS ROAD, VALHALLA
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10595
Practice Address - Country:US
Practice Address - Phone:914-493-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-19
Last Update Date:2024-04-22
Deactivation Date:2022-11-03
Deactivation Code:
Reactivation Date:2022-11-08
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program