Provider Demographics
NPI:1851797708
Name:RAJANISH M BOBDE MEDICAL LLC
Entity Type:Organization
Organization Name:RAJANISH M BOBDE MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJANISH
Authorized Official - Middle Name:M
Authorized Official - Last Name:BOBDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-356-4855
Mailing Address - Street 1:71 STORMYTOWN RD
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-2449
Mailing Address - Country:US
Mailing Address - Phone:914-356-4855
Mailing Address - Fax:914-488-5636
Practice Address - Street 1:970 N BROADWAY
Practice Address - Street 2:SUITE 201
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1309
Practice Address - Country:US
Practice Address - Phone:914-966-1900
Practice Address - Fax:914-966-0028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-04
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY242040207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty