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NPI Code Detail

MEDICARE: DR. SUMEET BAHL MD

MEDICARE: DR. SUMEET BAHL MD
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
12085R0202XDiagnostic Radiology PhysicianMD-54806IA
22085R0204XVascular & Interventional Radiology Physician299051NY

General Provider Information

NPI Number : 1598104929
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUMEET BAHL MD
Provider Business Mailing Address
First Line : 121 DEKALB AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-5493
Country : US
Telephone Number : 718-250-8270
Fax Number :
Provider Business Practice Location Address
First Line : 121 DEKALB AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-5493
Country : US
Telephone Number : 718-250-8270
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2013
Last Update Date : 12/18/2025

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