Aksamawati Dit Arja, Wajih

Aksamawati Dit Arja, Wajih is an individual health care provider with primary practice located at 206 Cornelia St Ste 307 Cvph Medical Center - Pulmonary Clinic, Plattsburgh NY 12901-2779. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Aksamawati Dit Arja, Wajih can be contacted via phone (518) 562-7705.

Contact Information

Primary practice address
206 Cornelia St Ste 307 Cvph Medical Center - Pulmonary Clinic Plattsburgh NY 12901-2779
Phone: (518) 562-7705
Fax: (518) 562-7706
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 275140 New York
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 275140 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 275140 New York

Profile Details

NPI number 1962718551
LBN Legal business name Aksamawati Dit Arja, Wajih
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2010
Last updated Mar 15th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962718551 NPPES
New York MEDICAID 03921666

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