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NPI Code Detail

MEDICARE: RATTANJIT S KOHLI PHYSICIAN PC

MEDICARE: RATTANJIT S KOHLI PHYSICIAN PC
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
1207R00000XInternal Medicine Physician186126NY

Other Identifiers

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

General Provider Information

NPI Number : 1417145897
Entity Type Code : Organization
Provider Name (Legal Business Name) : RATTANJIT S KOHLI PHYSICIAN PC
Provider Business Mailing Address
First Line : 11 TULIP CT
Second Line :
City : ALBERTSON
State : NY
Zip : 11507-1045
Country : US
Telephone Number : 516-621-5950
Fax Number : 516-621-5950
Provider Business Practice Location Address
First Line : 443 LINDEN BLVD
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-2821
Country : US
Telephone Number : 718-282-6333
Fax Number : 718-756-0545
Authorized Official
Title or Position : PRESIDENT
Name : DR. RATTANJIT S KOHLI
Credential : MD
Telephone Number : 516-782-2530
Provider Enumeration Date : 10/10/2007
Last Update Date : 10/10/2007

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