Dipak Kholwadwala

MD | Pediatric Cardiology | Male

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Complete Profile:

Dipak Kholwadwala basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Dipak Kholwadwala
Credential :	MD
Gender :	Male

Business Address:

Dipak Kholwadwala address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	Nsuh-dept Of Pediatrics, 300 Community Drive Manhasset, NY, 11030 United States
Phone Number :	516-562-3078

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1215007653
NPI Entity Type :	Individual
First Enrolment Date :	09 Nov, 2006
Last Updated On :	08 Jul, 2007

Medicare Participation:

Dipak Kholwadwala participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0941191944
Medicare Enrollment ID :	I20040322000060
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	1984
Accepts Medicare?	Yes. Dipak Kholwadwala accepts medicare insurance.

Group Practice Association:

Dipak Kholwadwala is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dipak Kholwadwala is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
North Shore - Lij Medical Pc	3375701568	4824	300 Community Dr Manhasset, NY - 110303816	Yes
North Shore - Lij Medical Pc	3375701568	4824	300 Community Dr Ll Manhasset, NY - 110303816 Ph: 5165622229	Yes
North Shore - Lij Medical Pc	3375701568	4824	330 Community Dr Manhasset, NY - 110303816 Ph: 5167082550	Yes
North Shore - Lij Medical Pc	3375701568	4824	350 Community Dr Manhasset, NY - 110303816 Ph: 5165623845	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dipak Kholwadwala are as mentioned. Primary taxonomy code for Dipak Kholwadwala, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	189436	NY

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Nsuh-dept Of Pediatrics, 300 Community Drive Manhasset, NY, 11030 United States
Phone Number :	516-562-3078

Business Location:

Patients can refer following map for directions to Dipak Kholwadwala practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.