Provider Demographics
NPI:1386686855
Name:INAMDAR, SUBHASH (MD)
Entity Type:Individual
Prefix:DR
First Name:SUBHASH
Middle Name:
Last Name:INAMDAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:200 E 33RD ST
Mailing Address - Street 2:SUITE 31J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-4874
Mailing Address - Country:US
Mailing Address - Phone:212-725-0192
Mailing Address - Fax:914-285-5723
Practice Address - Street 1:200 E 33RD ST
Practice Address - Street 2:SUITE 31J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4874
Practice Address - Country:US
Practice Address - Phone:212-725-0192
Practice Address - Fax:914-285-5723
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2008-03-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY11405812084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY563661Medicare PIN