Individual
DAVID RUBEN BAMSHAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6925 170TH ST, FRESH MEADOWS, NY 11365-3309
(646) 217-2730
Mailing address
14744 70TH AVE APT 3, FLUSHING, NY 11367-1739
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
306306
NY
2085R0202X
Diagnostic Radiology Physician
306306
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
306306
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2019
Last updated
04/24/2025
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