Sridhara, Bangalore S

Sridhara, Bangalore S is an individual health care provider with primary practice located at 12 Liberty Square Mall , Stony Point NY 10980-2400. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Sridhara, Bangalore S can be contacted via phone (845) 942-1001.

Contact Information

Primary practice address
12 Liberty Square Mall Stony Point NY 10980-2400
Phone: (845) 942-1001
Fax: (845) 942-1431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 213781 New York

Profile Details

NPI number 1063482636
LBN Legal business name Sridhara, Bangalore S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jan 11th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063482636 NPPES
New York Other 961385 MVP/TACONIC IPA
New York Other 193679 MVP/TACONIC IPA
New York Other 213781 MVP/TACONIC IPA
New York Other 213781 MVP/TACONIC IPA
New York Other 700608 MVP/TACONIC IPA
New York Other 2386215 MVP/TACONIC IPA
New York Other P00114326 MVP/TACONIC IPA
New York MEDICAID 01943466 MVP/TACONIC IPA
New York Other 58N891 MVP/TACONIC IPA
New York Other N67450 MVP/TACONIC IPA
New York Other 000000045698 MVP/TACONIC IPA
New York Other 133693126 MVP/TACONIC IPA
New York Other P1979240 MVP/TACONIC IPA
New York Other 0181480 MVP/TACONIC IPA
New York Other 58N892 MVP/TACONIC IPA
New York Other 7998110 MVP/TACONIC IPA

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