Patrick Antony Kiriyanthan, MD
Student in an Organized Health Care Education/Training Program in Brooklyn, NY. Individual provider (NPI-1).
NPI number1891582011
StatusActive
Last updated in NPPESApr 22, 2025
Details
- NPI
- 1891582011
- Entity type
- Individual (NPI-1)
- Name
- Patrick Antony Kiriyanthan
- Credential
- MD
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2025
- Certification date
- Apr 22, 2025
- Last updated
- Apr 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
450 Clarkson AveBrooklyn, NY 11203-2012
Phone 718-270-2353
Mailing address
18 Madeley LnStony Brook, NY 11790-2802
Phone 631-664-2132
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