Individual
SHALABH BOBRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 493-2500
(914) 493-2501
Mailing address
19 BRADHURST AVE, SUITE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
(914) 909-9028
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
236103
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03507191
—
NY
05
—
860041400
—
MN
Enumeration date
01/06/2006
Last updated
08/18/2016
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