Individual provider · NPI-1

Dr. Shubhada M Dhage, MD

Surgery · Mineola, NY

NPI number1689822553
StatusActive
Last updated in NPPESNov 2, 2021

Details

NPI
1689822553
Entity type
Individual (NPI-1)
Name
Dr. Shubhada M Dhage
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 4, 2008
Certification date
Nov 2, 2021
Last updated
Nov 2, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery244635NYYes
282N00000X General Acute Care Hospital244635NY

Practice location

120 Mineola Blvd Ste 320
Mineola, NY 11501-4077

Phone 516-663-3300

Mailing address

120 Mineola Blvd Ste 320
Mineola, NY 11501-4077

Phone 516-663-3300

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