Bagam, Samatha

Bagam, Samatha is an individual health care provider with primary practice located at 100 Crystal Run Rd Suite# 107, Middletown NY 10941-4041. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bagam, Samatha can be contacted via phone (845) 703-6999.

Contact Information

Primary practice address
100 Crystal Run Rd Suite# 107 Middletown NY 10941-4041
Fax: (845) 703-6297
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 263259 New York

Profile Details

NPI number 1518186840
LBN Legal business name Bagam, Samatha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Jul 31st, 2020 - about 6 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 1518186840 NPPES
New York MEDICAID 03111740

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