Individual
KAUSHIK BAGCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1367 WASHINGTON AVE, SUITE 200, ALBANY, NY 12206-1069
(518) 489-2666
(518) 489-2666
Mailing address
1367 WASHINGTON AVE, SUITE 200, ALBANY, NY 12206-1069
(518) 489-2666
(518) 489-2666
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
204628-2
NY
207X00000X
Orthopaedic Surgery Physician
215567
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0172511
—
MA
05
—
02315846
—
NY
Enumeration date
10/26/2005
Last updated
06/10/2008
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