Individual
DR. SHUBHADA M DHAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
120 MINEOLA BLVD STE 320, MINEOLA, NY 11501-4077
(516) 663-3300
Mailing address
120 MINEOLA BLVD STE 320, MINEOLA, NY 11501-4077
(516) 663-3300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
244635
NY
282N00000X
General Acute Care Hospital
244635
NY
Other
Enumeration date
09/04/2008
Last updated
11/02/2021
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