Active NPIIndividual provider

Dr. Bangalore S Sridhara, MD

Specialist in Stony Point, New York

NPI Number1063482636
Practice location
12 Liberty Square Mall, Stony Point, NY 10980-2400
Fax
845-942-1431
Last updated
January 11, 2017

Bangalore S Sridhara is a Specialist based in Stony Point, NY. Bangalore S Sridhara practices in Stony Point, NY and has the professional credentials of MD. The NPI Number for Bangalore S Sridhara is 1063482636 and holds a License No. 213781 (NY). The current practice location address for Bangalore S Sridhara is 12 Liberty Square Mall, Stony Point, NY 10980-2400 and can be reached out via phone at 845-942-1001 and via fax at 845-942-1431.

Provider Profile Details

NPI Number
1063482636
Provider Name
Bangalore S Sridhara
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12 Liberty Square Mall, Stony Point, NY 10980-2400
Phone Number
845-942-1001
Fax Number
845-942-1431
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
No
Provider Enumeration Date
January 25, 2006
Last Update Date
January 11, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Liberty Square Mall
Stony Point, NY 10980-2400
Zip
10980-2400
Phone Number
845-942-1001
Fax Number
845-942-1431
Stony Point, NY 10980Get directions →

Provider Business Mailing Address Details

Address
20 Grand Street, 3RD Fl
Warwick, NY 10990-1035
City
Warwick
State
NY
Zip
10990-1035
Phone Number
845-942-1001
Fax Number
845-987-5979

License Information

License Number
213781
License State
NY
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Bangalore S Sridhara, MD?

The NPI number of Dr. Bangalore S Sridhara, MD is 1063482636. It was assigned on January 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Bangalore S Sridhara, MD?

Dr. Bangalore S Sridhara, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 213781.

Where does Dr. Bangalore S Sridhara, MD practice?

The practice location is 12 Liberty Square Mall, Stony Point, NY 10980-2400. The office can be reached at 845-942-1001 (phone) or 845-942-1431 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063482636 directly on the NPPES registry website.

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