| Rest Medical Care Pc | |
|
3728 77th St Jackson Heights NY 11372-6630 | |
| (718) 335-7378 | |
| (718) 335-1071 |
| Full Name | Rest Medical Care Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3728 77th St, Jackson Heights, New York |
| Authorized Official Name and Position | Sultan Ahmed (MD) |
| Authorized Official Contact | 7183357378 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rest Medical Care Pc 3728 77th St Jackson Heights NY 11372-6630 Ph: (718) 335-7378 | Rest Medical Care Pc 3728 77th St Jackson Heights NY 11372-6630 Ph: (718) 335-7378 |
| NPI Number | 1508932443 |
|---|---|
| Provider Enumeration Date | 11/24/2006 |
| Last Update Date | 05/24/2022 |
| Medicare PECOS PAC ID | 1658479969 |
|---|---|
| Medicare Enrollment ID | O20070611000496 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508932443 | NPI | - | NPPES |
| 02910098 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Rounak Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669500211 PECOS PAC ID: 3274604517 Enrollment ID: I20080614000019 |
| Provider Name | Sultan Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598926909 PECOS PAC ID: 2860564481 Enrollment ID: I20080626000348 |
| Provider Name | Tasbirul M Alam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104971589 PECOS PAC ID: 4880761782 Enrollment ID: I20080918000267 |
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