MEDICARE: BINAYAK SIGDEL

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	282N00000X	General Acute Care Hospital
2	2080P0203X	Pediatric Critical Care Medicine Physician	2013027454	MO

General Provider Information

NPI Number	:	1841538295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BINAYAK SIGDEL

Provider Business Mailing Address
First Line	:	3242 SUSON CT, APARTMENT 2
Second Line	:
City	:	ST LOUIS
State	:	NY
Zip	:	10451-5504
Country	:	US
Telephone Number	:	718-579-5030
Fax Number	:

Provider Business Practice Location Address
First Line	:	3242 SUSON CT, APARTMENT 2
Second Line	:
City	:	ST LOUIS
State	:	NY
Zip	:	10451-5504
Country	:	US
Telephone Number	:	718-579-5030
Fax Number	:

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

Provider Enumeration Date	:	01/18/2013
Last Update Date	:	04/19/2016

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Directions to “ BINAYAK SIGDEL ” Practice Location

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