| Advanced Internal Medical Care ,llc | |
|
1664 E 14th St Ste 101 Brooklyn NY 11229-1162 | |
| (718) 998-2350 | |
| (718) 998-4252 |
| Full Name | Advanced Internal Medical Care ,llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1664 E 14th St Ste 101, Brooklyn, New York |
| Authorized Official Name and Position | Afshin Tavakoly (PROVIDER) |
| Authorized Official Contact | 7183130438 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Internal Medical Care ,llc 1664 E 14th St Ste 101 Brooklyn NY 11229-1162 Ph: (718) 313-0438 | Advanced Internal Medical Care ,llc 1664 E 14th St Ste 101 Brooklyn NY 11229-1162 Ph: (718) 998-2350 |
| NPI Number | 1760701031 |
|---|---|
| Provider Enumeration Date | 05/25/2010 |
| Last Update Date | 09/29/2020 |
| Medicare PECOS PAC ID | 0244354504 |
|---|---|
| Medicare Enrollment ID | O20100824000776 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760701031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (New York) | Primary |
| Provider Name | Afshin Tavakoly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700059680 PECOS PAC ID: 0749315059 Enrollment ID: I20100311000806 |
| Provider Name | Sharon Kheradnam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063823664 PECOS PAC ID: 2567715378 Enrollment ID: I20210629003539 |
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