Maitra, Subhasis Kumar
Maitra, Subhasis Kumar is an individual health care provider with primary practice located at 3400 N Dysart Rd Unit G-127, Avondale AZ 85392-1011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Maitra, Subhasis Kumar can be contacted via phone (623) 882-0077.Contact Information
Primary practice address
3400 N Dysart Rd Unit G-127
Avondale AZ 85392-1011
Phone: (623) 882-0077
Fax: (623) 882-9977
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 31810 | Arizona |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 31810 | Arizona |
Profile Details
| NPI number | 1487673760 |
|---|---|
| LBN Legal business name | Maitra, Subhasis Kumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Oct 11th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487673760 | NPPES |
| Arizona | Other | DE3350 | RAILROAD MEDICARE |
| Arizona | Other | 833344 | RAILROAD MEDICARE |
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