| Sehwan Medical Care Pllc | |
|
63 Walton St Brooklyn NY 11206-3234 | |
| (347) 667-7924 | |
| Not Available |
| Full Name | Sehwan Medical Care Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 63 Walton St, Brooklyn, New York |
| Authorized Official Name and Position | Mahmood Mehdi Kazmi (OWNER) |
| Authorized Official Contact | 3476677924 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sehwan Medical Care Pllc 63 Walton St Brooklyn NY 11206-3234 Ph: (347) 667-7924 | Sehwan Medical Care Pllc 63 Walton St Brooklyn NY 11206-3234 Ph: (347) 667-7924 |
| NPI Number | 1598537250 |
|---|---|
| Provider Enumeration Date | 10/26/2023 |
| Last Update Date | 10/26/2023 |
| Certification Date | 10/26/2023 |
| Medicare PECOS PAC ID | 8022468875 |
|---|---|
| Medicare Enrollment ID | O20231220001958 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598537250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Mahmood Mehdi Kazmi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669438875 PECOS PAC ID: 6305869280 Enrollment ID: I20060105000810 |
| Provider Name | Bernadette L Mayers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265771406 PECOS PAC ID: 3173748357 Enrollment ID: I20160712002447 |
| Provider Name | Liandra N Waisome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023451390 PECOS PAC ID: 7517198575 Enrollment ID: I20190812002697 |
| Provider Name | Zeba Iftekhar Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649743634 PECOS PAC ID: 1557772894 Enrollment ID: I20201118000550 |
| Provider Name | Jeffrey Nozius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265813703 PECOS PAC ID: 4688059520 Enrollment ID: I20220914000155 |
| Provider Name | Chi Tu Truong-leisner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528638780 PECOS PAC ID: 8224402169 Enrollment ID: I20230316001037 |
| Provider Name | Ijeamaka T Emejuru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255568200 PECOS PAC ID: 0143671628 Enrollment ID: I20240109002878 |
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