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NPI Code Detail

MEDICARE: FAIKAMED, LLC

MEDICARE: FAIKAMED, LLC
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 Physician263381NY

General Provider Information

NPI Number : 1518307073
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAIKAMED, LLC
Provider Business Mailing Address
First Line : 40 WALL ST
Second Line : SUITE 1508
City : NEW YORK
State : NY
Zip : 10005-1304
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 40 WALL ST
Second Line : SUITE 1508
City : NEW YORK
State : NY
Zip : 10005-1304
Country : US
Telephone Number : 646-423-8344
Fax Number :
Authorized Official
Title or Position : OWNER
Name : FAIKA KHAN
Credential : D.O
Telephone Number : 646-423-8344
Provider Enumeration Date : 06/28/2013
Last Update Date : 06/28/2013

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Directions to “FAIKAMED, LLC ” Practice Location

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