Provider Demographics
NPI:1992759351
Name:RAVI HOTCHANDANI MD PC
Entity type:Organization
Organization Name:RAVI HOTCHANDANI MD PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANIL
Authorized Official - Middle Name:K
Authorized Official - Last Name:SINGHANI
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:845-896-3636
Mailing Address - Street 1:400 WESTAGE BUSINESS CTR DR
Mailing Address - Street 2:SUITE 209
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-2223
Mailing Address - Country:US
Mailing Address - Phone:845-231-5380
Mailing Address - Fax:
Practice Address - Street 1:1 WEBSTER AVE SUITE 303
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-1361
Practice Address - Country:US
Practice Address - Phone:845-452-9800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYMG03V69810OtherEMPIRE BCBS
NYAW03V69910OtherEMPIRE BCBS
NYFT0786T610OtherEMPIRE BCBS
NYVM03V69710OtherEMPIRE BCBS
NYRH075K3810OtherEMPIRE BCBS
NYSS01698U10OtherEMPIRE BCBS
NYQX03V36210OtherEMPIRE BCBS
NYPB055J0920OtherEMPIRE BCBS
NYRH075K3810OtherEMPIRE BCBS
NYCH1315Medicare PIN