Provider Demographics
NPI:1407163355
Name:ARVIND G. KAMTHAN, M.D.P.C.
Entity Type:Organization
Organization Name:ARVIND G. KAMTHAN, M.D.P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:ARVIND
Authorized Official - Middle Name:G
Authorized Official - Last Name:KAMTHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-342-6464
Mailing Address - Street 1:225 DOLSON AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-6569
Mailing Address - Country:US
Mailing Address - Phone:845-342-6464
Mailing Address - Fax:845-342-6463
Practice Address - Street 1:225 DOLSON AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-6569
Practice Address - Country:US
Practice Address - Phone:845-342-6464
Practice Address - Fax:845-342-6463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY191866-1207RH0003X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty