Individual provider · NPI-1
David Ruben Bamshad
Radiology, Vascular & Interventional Radiology · Fresh Meadows, NY
NPI number1972065894
StatusActive
Last updated in NPPESApr 24, 2025
Details
- NPI
- 1972065894
- Entity type
- Individual (NPI-1)
- Name
- David Ruben Bamshad
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2019
- Certification date
- Apr 24, 2025
- Last updated
- Apr 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0204X | Radiology, Vascular & Interventional Radiology | 306306 | NY | Yes |
| 207R00000X | Internal Medicine | 306306 | NY | |
| 2085R0202X | Radiology, Diagnostic Radiology | 306306 | NY | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
6925 170th StFresh Meadows, NY 11365-3309
Phone 646-217-2730
Mailing address
14744 70th Ave Apt 3Flushing, NY 11367-1739
Other practice locations
100 Woods Rd
Valhalla, NY 10595-1530
Valhalla, NY 10595-1530
Phone 914-493-7000
1000 10th Ave
New York, NY 10019-1147
New York, NY 10019-1147
Phone 212-523-4000
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