Individual
DR. HANASOGE THIMMEGOWDA GIRISHKUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 SELWYN AVE, #4A, BRONX, NY 10457-7626
(718) 960-1237
(718) 960-1230
Mailing address
1650 SELWYN AVE, #4A, BRONX, NY 10457-7626
(718) 960-1237
(718) 960-1230
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
178937
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01273463
—
NY
Enumeration date
09/20/2006
Last updated
07/08/2007
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