Individual
DR. ASHISH BOSUKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-1653
(212) 289-6393
Mailing address
150 E 42ND ST FL 9, NEW YORK, NY 10017-5699
(646) 382-9194
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN25164
FL
208M00000X
Hospitalist Physician
Primary
305670
NY
390200000X
Student in an Organized Health Care Education/Training Program
TRN25164
FL
Other
Enumeration date
11/21/2018
Last updated
09/23/2020
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