Healthcare Provider Details

I. General information

NPI: 1982744868
Provider Name (Legal Business Name): VISHAL SARWAHI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MMC - DEPT. OF ORTHOPEDIC SURG 3400 BAINDRIDGE AVE
BRONX NY
10467
US

IV. Provider business mailing address

423 W 120TH ST #87
NEW YORK NY
10027-6028
US

V. Phone/Fax

Practice location:
  • Phone: 718-920-2060
  • Fax:
Mailing address:
  • Phone: 718-920-2060
  • Fax: 718-653-1587

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number001784
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: