Provider Demographics
NPI:1790826584
Name:SADARANGANI, GURMUKH JAGATRAI (MD)
Entity Type:Individual
Prefix:DR
First Name:GURMUKH
Middle Name:JAGATRAI
Last Name:SADARANGANI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:101 S CENTRAL AVE
Mailing Address - Street 2:ADVANCED RADIATION CENTERS OF NEW YORK
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-2317
Mailing Address - Country:US
Mailing Address - Phone:914-298-5200
Mailing Address - Fax:914-428-4760
Practice Address - Street 1:101 S CENTRAL AVE
Practice Address - Street 2:ADVANCED RADIATION CENTERS OF NEW YORK
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-2317
Practice Address - Country:US
Practice Address - Phone:914-298-5200
Practice Address - Fax:914-428-4760
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2015-01-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1625772085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01410599-8Y3Medicaid
NY01410599-8Y3Medicaid
F50958Medicare UPIN