MEDICARE: BRONX MEDICAL PRACTICE P.C.

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
1	207R00000X	Internal Medicine Physician	108070	NY

General Provider Information

NPI Number	:	1356726087
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRONX MEDICAL PRACTICE P.C.

Provider Business Mailing Address
First Line	:	2626 HALPERIN AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-2631
Country	:	US
Telephone Number	:	718-618-0401
Fax Number	:	347-479-1303

Provider Business Practice Location Address
First Line	:	2626 HALPERIN AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-2631
Country	:	US
Telephone Number	:	646-340-1309
Fax Number	:	646-374-4940

Authorized Official
Title or Position	:	OWNER OF CORP
Name	:	DR. SUMIR P. SAHGAL
Credential	:	M.D.
Telephone Number	:	718-618-0401

Provider Enumeration Date	:	07/23/2015
Last Update Date	:	09/26/2024

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