Organization · NPI-2
Bamshad Medical PC
Radiology, Vascular & Interventional Radiology · Fresh Meadows, NY
NPI number1114684826
StatusActive
Last updated in NPPESMar 11, 2025
Details
- NPI
- 1114684826
- Entity type
- Organization (NPI-2)
- Legal business name
- Bamshad Medical PC
- Organization subpart
- No
- Enumeration date
- Nov 17, 2021
- Certification date
- Mar 11, 2025
- Last updated
- Mar 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0204X | Radiology, Vascular & Interventional Radiology | – | – | Yes |
| 207R00000X | Internal Medicine | – | – |
Practice location
6925 170th StFresh Meadows, NY 11365-3309
Phone 646-217-2730
Mailing address
6925 170th StFresh Meadows, NY 11365-3309
Authorized official
David Bamshad
Owner
6462172730
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