Healthcare Provider Details

I. General information

NPI: 1770675910
Provider Name (Legal Business Name): NARGIS J MINHAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2123 RIVER ROAD
NISKAYUNA NY
12309
US

IV. Provider business mailing address

PO BOX 11-719
ALBANY NY
12211
US

V. Phone/Fax

Practice location:
  • Phone: 518-428-8708
  • Fax:
Mailing address:
  • Phone: 518-428-8708
  • Fax: 518-389-1788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number199913
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: