| Kati Medical Group | |
|
8708 Justice Ave Apt 2g Elmhurst NY 11373-4576 | |
| (718) 651-5792 | |
| (718) 651-5793 |
| Full Name | Kati Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 8708 Justice Ave Apt 2g, Elmhurst, New York |
| Authorized Official Name and Position | Min Xu (M.D.) |
| Authorized Official Contact | 7186515792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kati Medical Group 8708 Justice Ave Apt 2g Elmhurst NY 11373-4576 Ph: (718) 651-5792 | Kati Medical Group 8708 Justice Ave Apt 2g Elmhurst NY 11373-4576 Ph: (718) 651-5792 |
| NPI Number | 1144235011 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2860496668 |
|---|---|
| Medicare Enrollment ID | O20060911000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144235011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 203518 (New York) | Primary |
| Provider Name | Min Xu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013948314 PECOS PAC ID: 7012911811 Enrollment ID: I20060911000230 |
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