NAGANNA CHANNAVEERAIAH

BROOKLYN, NY
NPI1801983390
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  276303)
Additional Taxonomies207Q00000X Family Medicine
(Licence: FL  ME123689)
Enumeration Date2006-10-06
Last Update Date2018-05-15
Business Address
NAGANNA CHANNAVEERAIAH M.D, MBA, CPE
121 DEKALB AVE
BROOKLYN, NY 11201
Phone number: 718-455-9000
Mailing Address
NAGANNA CHANNAVEERAIAH M.D, MBA, CPE
2021 PROFESSIONAL CENTER DR STE 100
ORANGE PARK, FL 32073-4461
Phone number: 904-688-3000