Provider Demographics
NPI:1093768939
Name:SEN, MILAN KUMAR (MD)
Entity Type:Individual
Prefix:
First Name:MILAN
Middle Name:KUMAR
Last Name:SEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 BARCLAY ST APT 20B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007-2712
Mailing Address - Country:US
Mailing Address - Phone:212-203-1728
Mailing Address - Fax:
Practice Address - Street 1:50 MOUNT PROSPECT AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-1900
Practice Address - Country:US
Practice Address - Phone:973-330-9200
Practice Address - Fax:973-365-2333
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN1444207X00000X
CAA92040207X00000X
TXFTL 41988207X00000X
NY272266207XX0801X, 207XS0106X
NJ25MA09399400207XX0801X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX192836801Medicaid
CA00A920400Medicaid
TX8R7015OtherBCBS
CA00A920402Medicare ID - Type Unspecified
TX8K2925Medicare PIN
I35954Medicare UPIN