MEDICARE: MR. FERMAN KAKH HAMH

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	344600000X	Taxi	TCB16-10036856	NY

General Provider Information

NPI Number	:	1891241428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. FERMAN KAKH HAMH

Provider Business Mailing Address
First Line	:	1675 NIAGARA ST
Second Line	:	SUITE 8
City	:	BUFFALO
State	:	NY
Zip	:	14207-3106
Country	:	US
Telephone Number	:	716-400-8570
Fax Number	:

Provider Business Practice Location Address
First Line	:	1675 NIAGARA ST
Second Line	:	SUITE 8
City	:	BUFFALO
State	:	NY
Zip	:	14207-3106
Country	:	US
Telephone Number	:	716-400-8570
Fax Number	:

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

Provider Enumeration Date	:	09/01/2016
Last Update Date	:	09/01/2016

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