Basic Information
| Provider Information | |||||||||
| NPI: | 1164681706 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BHAGWAN | ||||||||
| FirstName: | SABRINA | ||||||||
| MiddleName: | D | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1055 47TH AVE | ||||||||
| Address2: | APT. 6 H | ||||||||
| City: | LONG ISLAND CITY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 111015439 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2122411800 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1055 47TH AVE | ||||||||
| Address2: | APT. 6 H | ||||||||
| City: | LONG ISLAND CITY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 111015439 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2122411800 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/09/2008 | ||||||||
| LastUpdateDate: | 06/09/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 234359 | NY | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.