| Doctor Name: | DILIP R MUKHTYAR |
| NPI Number: | 1093708042 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 111730 |
| Business Practice Address: | 1521 Benson St Bronx, NY - 104613101 |
| Business Phone Number: | 7188632173 |
| Business Fax Number: | 7188233926 |
| Mailing Address: | 1521 Benson St, BRONX |
| State: | NY |
| Postal Code: | 104613101 |
| Phone Number: | 7188632173 |
| Fax Number: | 7188233926 |
| NPI Enumeration Date: | 08/25/2005 |
| NPI Last Update Date: | 09/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 111730 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |