Provider Demographics
NPI:1902066871
Name:BANGALORE, SRIPAL (MD, MHA)
Entity Type:Individual
Prefix:DR
First Name:SRIPAL
Middle Name:
Last Name:BANGALORE
Suffix:
Gender:M
Credentials:MD, MHA
Other - Prefix:DR
Other - First Name:SRIPAL
Other - Middle Name:
Other - Last Name:BANGALORE VASANTHKUMAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MHA
Mailing Address - Street 1:530 FIRST AVENUE,
Mailing Address - Street 2:SKI 9R/109
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6402
Mailing Address - Country:US
Mailing Address - Phone:718-724-4132
Mailing Address - Fax:
Practice Address - Street 1:NYU LANGONE HEALTH, 530 FIRST AVENUE
Practice Address - Street 2:SKI 9R/109
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-3540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-13
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY258264207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease