Individual
DR. MAHOMED S BHANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
255 LAFAYETTE AVE, GOOD SAMARITAN HOSPITAL BEHAVIOR HEALTH DEPT, SUFFERN, NY 10901
(845) 368-5251
(845) 368-5937
Mailing address
PO BOX 797, 16 KENDALL DRIVE, NEW CITY, NY 10956
(845) 368-5251
(845) 368-5937
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
148678
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007431395
AETNA
—
05
—
00885983
—
NY
01
—
02753533
MEDICAID GROUP
NY
01
—
581B52
EMPIRE BCBS
—
01
—
WFW351
MEDICARE GROUP
NY
Enumeration date
10/06/2006
Last updated
03/28/2008
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