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Individual
SHAYMAL MOZUMDAR
Active
Individual
SHAYMAL MOZUMDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
192233
NY
207R00000X
Internal Medicine Physician
Primary
MD449953
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020501801
UNIVERA
NY
01
—
000523007009
BLUE CROSS
NY
01
—
0100918
GHI
—
05
—
01476613
—
NY
01
—
040426003599
FIDELIS
NY
01
—
0409243
INDEPENDENT HEALTH
NY
01
—
110235049
RAILROAD MEDICARE
—
01
—
145302BJ
PREFERRED CARE
—
Enumeration date
03/24/2006
Last updated
04/12/2018
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