Bamshad Medical PC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

BAMSHAD MEDICAL PC

Practice address

6925 170TH St
Fresh Meadows, NY 11365-3309

Phone

(646) 217-2730

NPI assigned

Nov 17, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Bamshad, MDNPI 1972065894

Title

Owner

Phone

(646) 217-2730

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Ruben Bamshad

  • Vascular & Interventional Radiology Physician
  • Fresh Meadows, NY
  • NPI 1972065894

  Internal Medicine

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1114684826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6925 170TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6925 170TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653309",
            "telephone_number": "646-217-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAMSHAD MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "BAMSHAD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-217-2730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Bahadourian
• Lawan Bailey, LMSW
• Keidra P Baird
• Shirlyn Wendy Balkissoon
• Bamshad Health Network Inc.
• David Ruben Bamshad
• Daniel Barayev, DDS
• Lance Barazani, MD
• Laurenmarie Barbella
• Suzan Barge

• Vascular & Interventional Radiology Physician in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Vascular & Interventional Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.