Organization
BAGHEL MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHOK BAGHEL MD (OWNER)
(518) 233-1140
Entity
Organization
Contact information
Practice address
2425 BROADWAY, WATERVLIET, NY 12189-2231
(518) 233-1140
(518) 233-1165
Mailing address
2425 BROADWAY, WATERVLIET, NY 12189-2231
(518) 233-1140
(518) 233-1165
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NY
Enumeration date
12/04/2013
Last updated
12/04/2013
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