Individual
DR. SIBDAS MUKHERJEE MUKHOPADHYAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14750 NW 77TH CT STE 106, MIAMI LAKES, FL 33016-1507
(305) 698-4000
(305) 698-4014
Mailing address
14750 NW 77TH CT STE 106, MIAMI LAKES, FL 33016-1507
(305) 698-4000
(305) 698-4014
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
172503
NY
207VG0400X
Gynecology Physician
Primary
ME142611
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01076159
—
NY
Enumeration date
07/13/2005
Last updated
05/18/2021
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