| Nami Khulusi Md Llc | |
|
74 Us Highway 9 Englishtown NJ 07726-9209 | |
| (718) 819-2920 | |
| (718) 819-2923 |
| Full Name | Nami Khulusi Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 74 Us Highway 9, Englishtown, New Jersey |
| Authorized Official Name and Position | Eileen Kenny (OFF. MGR.) |
| Authorized Official Contact | 7188192920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nami Khulusi Md Llc 74 Route 9 North Englishtown NJ 07726 Ph: (718) 819-2920 | Nami Khulusi Md Llc 74 Us Highway 9 Englishtown NJ 07726-9209 Ph: (718) 819-2920 |
| NPI Number | 1417092776 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1759483654 |
|---|---|
| Medicare Enrollment ID | O20070223000281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417092776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA06313900 (New Jersey) | Primary |
| Provider Name | Nami O Khulusi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841361771 PECOS PAC ID: 4082639323 Enrollment ID: I20051006000156 |
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