Khaled Alalwani Md P.c. | |
14 Emerson Dr Staten Island NY 10304-1511 | |
(347) 545-7962 | |
Not Available |
Full Name | Khaled Alalwani Md P.c. |
---|---|
Speciality | Internal Medicine |
Location | 14 Emerson Dr, Staten Island, New York |
Authorized Official Name and Position | Khaled Al Alwani (MD) |
Authorized Official Contact | 3475457962 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Khaled Alalwani Md P.c. 14 Emerson Dr Staten Island NY 10304-1511 Ph: () - | Khaled Alalwani Md P.c. 14 Emerson Dr Staten Island NY 10304-1511 Ph: (347) 545-7962 |
NPI Number | 1972018893 |
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Provider Enumeration Date | 12/14/2017 |
Last Update Date | 09/17/2018 |
Medicare PECOS PAC ID | 6800147992 |
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Medicare Enrollment ID | O20181001000193 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972018893 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Khaled Al Alwani |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558701524 PECOS PAC ID: 8325335177 Enrollment ID: I20161122001548 |
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