Provider Demographics
NPI:1669142097
Name:YOUR BIG PICTURE MEDICAL NY, P.C.
Entity type:Organization
Organization Name:YOUR BIG PICTURE MEDICAL NY, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VIKRAM
Authorized Official - Middle Name:DEEPAK
Authorized Official - Last Name:BAKHRU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:888-811-9064
Mailing Address - Street 1:3109 GRAND AVE # 215
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-5103
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:450 W 33RD ST FL 11
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-2603
Practice Address - Country:US
Practice Address - Phone:888-811-9064
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-16
Last Update Date:2023-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty