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NPI Code Detail

MEDICARE: NINA INAMDAR M.D.

MEDICARE:   NINA  INAMDAR  M.D.
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
1207R00000XInternal Medicine Physician040502CT

General Provider Information

NPI Number : 1053491597
Entity Type Code : Individual
Provider Name (Legal Business Name) : NINA INAMDAR M.D.
Provider Business Mailing Address
First Line : 190 GOLDENS BRIDGE RD
Second Line :
City : KATONAH
State : NY
Zip : 10536-2810
Country : US
Telephone Number : 914-401-8053
Fax Number : 914-401-8053
Provider Business Practice Location Address
First Line : 1450 WASHINGTON BLVD
Second Line :
City : STAMFORD
State : CT
Zip : 06902-2451
Country : US
Telephone Number : 203-327-9321
Fax Number : 203-967-2140
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 01/07/2014

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Directions to “ NINA INAMDAR M.D.” Practice Location

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