Individual
SUBHAN ATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 590-1800
Mailing address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 590-1800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.51441
AL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD.51441
AL
Other
Enumeration date
06/26/2019
Last updated
07/21/2025
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