Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 063899 | CT |
N | 207RH0003X | Hematology & Oncology | 1918661 | NY |
N | 208D00000X | General Practice Physician | 1918661 | NY |
NPI | 1073507653 |
---|---|
Provider Name | Mr. Arvind G Kamthan |
First Address | Middletown, NY 10940-2650 |
Second Address | Farmington, CT 06030-8040 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2005 |
Last Update Date | 17/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01807538 | (05) | NY |
F62591 | (02) |