Healthcare Provider Details

I. General information

NPI: 1922934538
Provider Name (Legal Business Name): RADIANT MEDICAL CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1811 AVENUE P STE 1
BROOKLYN NY
11229-1368
US

IV. Provider business mailing address

1811 AVENUE P STE 1
BROOKLYN NY
11229-1368
US

V. Phone/Fax

Practice location:
  • Phone: 718-842-2000
  • Fax: 718-706-7447
Mailing address:
  • Phone: 718-842-2000
  • Fax: 718-706-7447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MUJIBUR MAJUMDER
Title or Position: OWNER
Credential: MD
Phone: 718-842-2000