MEDICARE: DR. AHMED M. TAHA EL KADY D.D.S.

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
1	122300000X	Dentist	043086	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215918073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AHMED M. TAHA EL KADY D.D.S.

Provider Business Mailing Address
First Line	:	218-84 HEMPSTEAD AVE
Second Line	:
City	:	QUEENS VILLAGE
State	:	NY
Zip	:	11429
Country	:	US
Telephone Number	:	718-736-6162
Fax Number	:	718-468-2047

Provider Business Practice Location Address
First Line	:	218-84 HEMPSTEAD AVE
Second Line	:
City	:	QUEENS VILLAGE
State	:	NY
Zip	:	11429
Country	:	US
Telephone Number	:	718-736-6162
Fax Number	:	718-468-2047

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	12/23/2008

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