Ais Physician P.c | |
476 7th St Brooklyn NY 11215-6932 | |
(718) 885-4727 | |
Not Available |
Full Name | Ais Physician P.c |
---|---|
Speciality | Internal Medicine |
Location | 476 7th St, Brooklyn, New York |
Authorized Official Name and Position | Ijaz Ahmad (PRESIDENT) |
Authorized Official Contact | 7187894333 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ais Physician P.c 70 Old Westbury Rd Old Westbury NY 11568-1611 Ph: (718) 395-6444 | Ais Physician P.c 476 7th St Brooklyn NY 11215-6932 Ph: (718) 885-4727 |
NPI Number | 1043640220 |
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Provider Enumeration Date | 11/25/2013 |
Last Update Date | 09/04/2024 |
Medicare PECOS PAC ID | 8729399605 |
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Medicare Enrollment ID | O20150618001486 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043640220 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Sarat Bhumi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861578924 PECOS PAC ID: 4385651561 Enrollment ID: I20060313000571 |
Provider Name | Chitra Gopalaswamy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558437897 PECOS PAC ID: 3779771415 Enrollment ID: I20101222000807 |
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