| South Asian Ipa | |
|
7017 37th Ave Jackson Heights NY 11372-3922 | |
| (718) 683-5467 | |
| (718) 565-5686 |
| Full Name | South Asian Ipa |
|---|---|
| Speciality | Internal Medicine |
| Location | 7017 37th Ave, Jackson Heights, New York |
| Authorized Official Name and Position | Ferdous Khandker (MD) |
| Authorized Official Contact | 7186835467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Asian Ipa 7017 37th Ave Jackson Heights NY 11372-3922 Ph: (718) 683-5467 | South Asian Ipa 7017 37th Ave Jackson Heights NY 11372-3922 Ph: (718) 683-5467 |
| NPI Number | 1043752041 |
|---|---|
| Provider Enumeration Date | 11/08/2016 |
| Last Update Date | 11/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043752041 | NPI | - | NPPES |
| 02300407 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 225253 (New York) | Primary |
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