| Krg Medical Pc | |
|
21533 Jamaica Ave Queens Village Queens Village NY 11428-1736 | |
| (718) 464-6322 | |
| (718) 464-6141 |
| Full Name | Krg Medical Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 21533 Jamaica Ave, Queens Village, New York |
| Authorized Official Name and Position | Ramkumar Panhani (OWNER) |
| Authorized Official Contact | 7184646322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Krg Medical Pc 21533 Jamaica Ave Queens Village Queens Village NY 11428-1736 Ph: (718) 464-6322 | Krg Medical Pc 21533 Jamaica Ave Queens Village Queens Village NY 11428-1736 Ph: (718) 464-6322 |
| NPI Number | 1386897247 |
|---|---|
| Provider Enumeration Date | 10/23/2008 |
| Last Update Date | 10/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386897247 | NPI | - | NPPES |
| 18U831 | Other | NY | MEDICARE |
| 01583586 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 1993981 (New York) | Primary |
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