David Bae, M.D.
Internal Medicine, Advanced Heart Failure and Transplant Cardiology in New York, NY. Individual provider (NPI-1).
NPI number1053706325
StatusActive
Last updated in NPPESMay 3, 2022
Details
- NPI
- 1053706325
- Entity type
- Individual (NPI-1)
- Name
- David Bae
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2015
- Certification date
- May 3, 2022
- Last updated
- May 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RA0001X | Internal Medicine, Advanced Heart Failure and Transplant Cardiology | 308918 | NY | Yes |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 308918 | NY | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
622 W 168th StNew York, NY 10032-3720
Phone 212-305-4600 · Fax 212-305-7439
Mailing address
622 W 168th StNew York, NY 10032-3720
Phone 212-305-4600 · Fax 212-305-7439
Other practice locations
650 Charles E Young Dr S
Los Angeles, CA 90095-8347
Los Angeles, CA 90095-8347
Phone 310-206-6286
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