MEDICARE: DR. SARABJIT SINGH PHOKELA MD

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	208000000X	Pediatrics Physician	235529	NY
2	2080N0001X	Neonatal-Perinatal Medicine Physician	MD062854L	PA
3	2080N0001X	Neonatal-Perinatal Medicine Physician	235529	NY

General Provider Information

NPI Number	:	1518938141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARABJIT SINGH PHOKELA MD

Provider Business Mailing Address
First Line	:	150 55TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-2508
Country	:	US
Telephone Number	:	718-630-6375
Fax Number	:	718-630-6322

Provider Business Practice Location Address
First Line	:	150 55TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-2508
Country	:	US
Telephone Number	:	718-630-6375
Fax Number	:	718-630-6322

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

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	05/29/2020

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