Healthcare Provider Details

I. General information

NPI: 1407163355
Provider Name (Legal Business Name): ARVIND G. KAMTHAN, M.D.P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2010
Last Update Date: 09/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 DOLSON AVE SUITE 301
MIDDLETOWN NY
10940-6569
US

IV. Provider business mailing address

225 DOLSON AVE SUITE 301
MIDDLETOWN NY
10940-6569
US

V. Phone/Fax

Practice location:
  • Phone: 845-342-6464
  • Fax: 845-342-6463
Mailing address:
  • Phone: 845-342-6464
  • Fax: 845-342-6463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number191866-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number191866-1
License Number StateNY

VIII. Authorized Official

Name: ARVIND G. KAMTHAN
Title or Position: M.D.
Credential:
Phone: 845-342-6464