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319 S Manning Blvd Suite 116 Albany NY 12208-1742 | |
(518) 459-1800 | |
(518) 459-1818 |
Full Name | |
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Speciality | Internal Medicine |
Location | 319 S Manning Blvd, Albany, New York |
Authorized Official Name and Position | Abul K Azad (OWNER) |
Authorized Official Contact | 5184591800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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319 S Manning Blvd Suite 116 Albany NY 12208-1742 Ph: (518) 459-1800 | 319 S Manning Blvd Suite 116 Albany NY 12208-1742 Ph: (518) 459-1800 |
NPI Number | 1770646804 |
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Provider Enumeration Date | 12/19/2006 |
Last Update Date | 06/17/2008 |
Medicare PECOS PAC ID | 4880640259 |
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Medicare Enrollment ID | O20050329000716 |
Identifier | Type | State | Issuer |
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1770646804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Primary |
Provider Name | Abul K. Azad |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1003979121 PECOS PAC ID: 6507812971 Enrollment ID: I20090428000000 |
Provider Name | Najiib Azad |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396186433 PECOS PAC ID: 2567751068 Enrollment ID: I20180912003676 |
Memorial Hospital, Albany, N.y. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Shaker Rd Ste G02, Albany, NY 12204 Phone: 518-449-5352 |