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Individual

BIRENDRA SINGH WALIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1200 WATERS PL, SUITE M115, BRONX, NY 10461-0370
(718) 794-9729
(718) 794-9730
Mailing address
PO BOX 416173, BOSTON, MA 02241-6173
(610) 644-8900
(484) 924-0053

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
241963-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0187593
NJ
05
02479087
NY
Enumeration date
07/21/2006
Last updated
05/15/2020
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