| Latina Medical Office, P.c. | |
|
188a Dahill Road Brooklyn NY 11218-3151 | |
| (646) 752-7058 | |
| Not Available |
| Full Name | Latina Medical Office, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 188a Dahill Road, Brooklyn, New York |
| Authorized Official Name and Position | Zaber Ahmad Khan (PRESIDENT) |
| Authorized Official Contact | 6467527058 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Latina Medical Office, P.c. 303 Beverley Rd Apt # 1p Brooklyn NY 11218-3151 Ph: (718) 686-6397 | Latina Medical Office, P.c. 188a Dahill Road Brooklyn NY 11218-3151 Ph: (646) 752-7058 |
| NPI Number | 1992854855 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 05/20/2009 |
| Medicare PECOS PAC ID | 8022112499 |
|---|---|
| Medicare Enrollment ID | O20090617000164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992854855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 234133-1 (New York) | Primary |
| Provider Name | Zaber A Rayan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871682708 PECOS PAC ID: 4981707346 Enrollment ID: I20070306000262 |
| Provider Name | Sumera Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467770636 PECOS PAC ID: 9638295496 Enrollment ID: I20100929000806 |
| Provider Name | Fahim M Tazwar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376952945 PECOS PAC ID: 9032410097 Enrollment ID: I20151216000495 |
| Provider Name | Golam M Waris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770528267 PECOS PAC ID: 5799915815 Enrollment ID: I20181226001671 |
| Provider Name | Nafisa K Elora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811350531 PECOS PAC ID: 3678810140 Enrollment ID: I20200521000750 |
| Provider Name | Mohammed M Ullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760007496 PECOS PAC ID: 6002283090 Enrollment ID: I20221103002453 |
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