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NPI Code Detail

MEDICARE: SIKDER MEDICAL CARE P.C.

MEDICARE: SIKDER MEDICAL CARE P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1003208141
Entity Type Code : Organization
Provider Name (Legal Business Name) : SIKDER MEDICAL CARE P.C.
Provider Business Mailing Address
First Line : 504 MCDONALD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-3812
Country : US
Telephone Number : 917-442-1797
Fax Number : 718-732-0783
Provider Business Practice Location Address
First Line : 504 MCDONALD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-3812
Country : US
Telephone Number : 917-442-1797
Fax Number : 718-732-0783
Authorized Official
Title or Position : PRESIDENT/ PHYSICIAN
Name : DR. SUBHASH CHANDRA SIKDER
Credential : DO
Telephone Number : 917-442-1797
Provider Enumeration Date : 02/26/2015
Last Update Date : 02/26/2015

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