Organization
ANJNI G BHAGAT PHYSICIAN P C
Active
Other names
MAIN STREET MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANJNI G BHAGAT MD (PRESIDENT)
(518) 483-0705
Entity
Organization
Contact information
Practice address
5 CLAY ST, MALONE, NY 12953-1905
(518) 483-0705
(518) 483-1375
Mailing address
5 CLAY ST, MALONE, NY 12953-1905
(518) 483-0705
(518) 483-1375
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02957679
—
NY
01
—
DB3458
RAILROAD MEDICARE
NY
Enumeration date
08/18/2006
Last updated
12/15/2009
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