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:
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Health care specialties

SpecialtyCodeLicense #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 14 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 1487673760 NPPES
Arizona Other DE3350 RAILROAD MEDICARE
Arizona Other 833344 RAILROAD MEDICARE

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