Basic Information
| Provider Information | |||||||||
| NPI: | 1477547198 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOTCHANDANI | ||||||||
| FirstName: | RAVI | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 159 BARNEGAT RD FL 2 | ||||||||
| Address2: | |||||||||
| City: | POUGHKEEPSIE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 126015401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8454529800 | ||||||||
| FaxNumber: | 8454527691 | ||||||||
| Practice Location | |||||||||
| Address1: | 159 BARNEGAT RD FL 2 | ||||||||
| Address2: | |||||||||
| City: | POUGHKEEPSIE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 126015401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8454529800 | ||||||||
| FaxNumber: | 8454527691 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/08/2005 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0100X | 145451 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
ID Information
| ID | Type | State | Issuer | Description | 00809009 | 05 | NY | MEDICAID | RH075K3810 | 01 | NY | EMPIRE BLUE CROSS BLUE SHIELD | OTHER |