Provider Demographics
NPI:1235224858
Name:SANYAL, RAJAT S (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJAT
Middle Name:S
Last Name:SANYAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:88 ASHFORD AVENUE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-1812
Mailing Address - Country:US
Mailing Address - Phone:914-478-0641
Mailing Address - Fax:914-478-3479
Practice Address - Street 1:88 ASHFORD AVENUE
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-1812
Practice Address - Country:US
Practice Address - Phone:914-478-0641
Practice Address - Fax:914-478-3479
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY203483207RC0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01902721Medicaid
NY37N221Medicare PIN
NY01902721Medicaid