Provider Demographics
NPI:1841440047
Name:SREEKANTAIAH, CHANDRIKA (PHD)
Entity type:Individual
Prefix:DR
First Name:CHANDRIKA
Middle Name:
Last Name:SREEKANTAIAH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:33 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-2101
Mailing Address - Country:US
Mailing Address - Phone:914-923-1845
Mailing Address - Fax:
Practice Address - Street 1:1 FOREST PKWY
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-6147
Practice Address - Country:US
Practice Address - Phone:203-926-7176
Practice Address - Fax:203-926-7454
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-24
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics