Provider Demographics
NPI:1003992033
Name:BALDEO, PHILIP ROOPCHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:ROOPCHAN
Last Name:BALDEO
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:12507 LIBERTY AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11419-2233
Mailing Address - Country:US
Mailing Address - Phone:718-845-8900
Mailing Address - Fax:866-372-8750
Practice Address - Street 1:125-07 LIBERTY AVENUE
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11419
Practice Address - Country:US
Practice Address - Phone:718-845-8900
Practice Address - Fax:866-372-8750
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY194531207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine