Active NPI
Garuda Medical, P.C.
- Specialist
- Great Neck, NY
National Provider Identifier
1023409448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 199398
- Legal business name
- GARUDA MEDICAL, P.C.
- Practice address
- 1010 Northern Blvd
Suite 208
Great Neck, NY 11021-5317 - Phone
- (718) 464-0122
- NPI assigned
- Feb 6, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ramkumar Panhani, M.D.
- Title
- President
- Phone
- (718) 464-0122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 199398 | NY | Primary |
Addresses
Primary practice location
1010 Northern Blvd
Suite 208
Great Neck, NY 11021-5317
Mailing address
1010 Northern Blvd
Suite 208
Great Neck, NY 11021-5317
Phone (718) 464-0122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01583586 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423180800000",
"number": "1023409448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 NORTHERN BLVD",
"address_2": "SUITE 208",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215317",
"telephone_number": "718-464-0122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 NORTHERN BLVD",
"address_2": "SUITE 208",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215317",
"telephone_number": "718-464-0122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARUDA MEDICAL, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-06",
"last_updated": "2015-02-06",
"status": "A",
"authorized_official_last_name": "PANHANI",
"authorized_official_first_name": "RAMKUMAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-464-0122",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "199398",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01583586",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.