Individual
DR. SHYAMALI BHAKTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5870
(718) 780-7719
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
234010
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02638475
—
NY
Enumeration date
05/27/2006
Last updated
05/15/2008
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