MEDICARE: DR. BALVINDER SADARANGANI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	133655	NY

General Provider Information

NPI Number	:	1649326927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BALVINDER SADARANGANI M.D.

Provider Business Mailing Address
First Line	:	61 IRVING PL
Second Line	:	SUITE LLB
City	:	NEW YORK
State	:	NY
Zip	:	10003-2324
Country	:	US
Telephone Number	:	212-982-4100
Fax Number	:

Provider Business Practice Location Address
First Line	:	61 IRVING PL
Second Line	:	SUITE LLB
City	:	NEW YORK
State	:	NY
Zip	:	10003-2324
Country	:	US
Telephone Number	:	212-982-4100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	12/20/2014

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