Individual
BUDDHADEV NATHABHAI MANVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6414 BAY PKWY, BROOKLYN, NY 11204-3929
(718) 234-2300
(718) 234-0098
Mailing address
6414 BAY PKWY, BROOKLYN, NY 11204-3929
(718) 234-2300
(718) 234-0098
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
139432
NY
207UN0901X
Nuclear Cardiology Physician
139342
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00709628
—
NY
Enumeration date
08/24/2005
Last updated
04/30/2008
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