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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

VICHIKA THAN, MD

Active Sole Proprietor

VICHIKA THAN, MD is a General Practice healthcare provider located in FRESH MEADOWS, New York. NPI 1043101884 is currently active in the NPPES registry. Verify at CMS.

General Practice · FRESH MEADOWS, NY

Registration Details

NPI Number
1043101884
Provider Type
Individual
Gender
Female
NPI Issued
Jul 10, 2025 (1.0831615028697 yrs)
Last Updated
Jul 10, 2025
License
P136447 (NY)
Sole Proprietor
Yes

Practice Information

Address
6136 170TH ST
FRESH MEADOWS, NY, 113651900
Browse NY providers · Browse ZIP 11365
Phone
7187090940
Primary Specialty
General Practice
208D00000X

Other General Practice Providers in FRESH MEADOWS, NY

Name Credential NPI
DR. HOI Y KAM M.D. 1427273176
DR. RAJESH KALRA 1518307875
NNEKA JOSEPHINE UMEH MD 1093462178
DR. ADEBOLA YEWANDE AFOLAYAN MD 1740917913
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.