Provider Demographics
NPI:1154602142
Name:DEBNATH, BABUL CHANDRA (MD)
Entity type:Individual
Prefix:
First Name:BABUL
Middle Name:CHANDRA
Last Name:DEBNATH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600E 233 RD STREET
Mailing Address - Street 2:MONTEFIORE MEDICAL CENTER, NORTH DIVISION
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466
Mailing Address - Country:US
Mailing Address - Phone:718-920-9880
Mailing Address - Fax:
Practice Address - Street 1:600E 233 RD STREET
Practice Address - Street 2:MONTEFIORE MEDICAL CENTER, NORTH DIVISION
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466
Practice Address - Country:US
Practice Address - Phone:718-920-9880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-02
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2014-01504207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine