| Universal Medical Care, Pc | |
|
9217 101st Ave Ozone Park NY 11416-2316 | |
| (718) 845-6500 | |
| (718) 846-6569 |
| Full Name | Universal Medical Care, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9217 101st Ave, Ozone Park, New York |
| Authorized Official Name and Position | Shafiq Rehman Khokhar (MD) |
| Authorized Official Contact | 7188456500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Universal Medical Care, Pc 90 N Sheridan Ave Bethpage NY 11714-3611 Ph: (718) 845-6500 | Universal Medical Care, Pc 9217 101st Ave Ozone Park NY 11416-2316 Ph: (718) 845-6500 |
| NPI Number | 1679665285 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 10/27/2013 |
| Medicare PECOS PAC ID | 1052370988 |
|---|---|
| Medicare Enrollment ID | O20041006001306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679665285 | NPI | - | NPPES |
| 03436679 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 60-55096 (New York) | Primary |
| Provider Name | Shafiq R Khokhar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871685495 PECOS PAC ID: 1850385956 Enrollment ID: I20040412001416 |
| Provider Name | Sachidanand R Peteru |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639321268 PECOS PAC ID: 6901089085 Enrollment ID: I20110328000299 |
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