Provider Demographics
NPI:1831429463
Name:CHOTIDILOKE, CHADANAPIS (PHARMD)
Entity type:Individual
Prefix:MS
First Name:CHADANAPIS
Middle Name:
Last Name:CHOTIDILOKE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:661 HILLSIDE RD
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NY
Mailing Address - Zip Code:10803-2723
Mailing Address - Country:US
Mailing Address - Phone:914-738-2400
Mailing Address - Fax:914-738-7425
Practice Address - Street 1:661 HILLSIDE RD
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:NY
Practice Address - Zip Code:10803-2723
Practice Address - Country:US
Practice Address - Phone:914-738-2400
Practice Address - Fax:914-738-7425
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-04
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048565183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist