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Individual

DISHA CHHABRA SPATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
711 TROY SCHENECTADY RD STE 104, LATHAM, NY 12110-2454
(518) 783-3110
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
287167
NY
208M00000X
Hospitalist Physician
287167
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04847054
NY
Enumeration date
06/06/2012
Last updated
05/19/2021
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