| Geo Medical Care Pc | |
|
26 Newkirk Plz Brooklyn NY 11226-6525 | |
| (718) 434-7545 | |
| (718) 434-7564 |
| Full Name | Geo Medical Care Pc |
|---|---|
| Speciality | Pediatrics |
| Location | 26 Newkirk Plz, Brooklyn, New York |
| Authorized Official Name and Position | Nasrullah Khan (OWNER) |
| Authorized Official Contact | 7184347545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geo Medical Care Pc 26 Newkirk Plz Brooklyn NY 11226-6525 Ph: (718) 434-7545 | Geo Medical Care Pc 26 Newkirk Plz Brooklyn NY 11226-6525 Ph: (718) 434-7545 |
| NPI Number | 1487655031 |
|---|---|
| Provider Enumeration Date | 08/04/2005 |
| Last Update Date | 11/15/2022 |
| Medicare PECOS PAC ID | 7214938315 |
|---|---|
| Medicare Enrollment ID | O20070116000185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487655031 | NPI | - | NPPES |
| 01689409 | Medicaid | NY |
| Provider Name | Nasrullah Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457428088 PECOS PAC ID: 4385641802 Enrollment ID: I20061025000805 |
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