Basic Information
Provider Information
NPI: 1013241173
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VAKDE
FirstName: TRUPTI
MiddleName: ARUN
NamePrefix:  
NameSuffix:  
Credential:  
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Mailing Information
Address1: 1770 GRAND CONCOURSE APT AD
Address2:  
City: BRONX
State: NY
PostalCode: 104575525
CountryCode: US
TelephoneNumber: 3474311079
FaxNumber:  
Practice Location
Address1: 1650 GRAND CONCOURSE
Address2: DEPARTMENT OF MEDICINE
City: BRONX
State: NY
PostalCode: 104577606
CountryCode: US
TelephoneNumber: 7189601234
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/22/2009
LastUpdateDate: 04/29/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001X274189NYY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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