Healthcare Provider Details

I. General information

NPI: 1578357380
Provider Name (Legal Business Name): URK CARDIOMED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 BROADWAY STE R
ALBANY NY
12207-2922
US

IV. Provider business mailing address

418 BROADWAY STE R
ALBANY NY
12207-2922
US

V. Phone/Fax

Practice location:
  • Phone: 315-615-4754
  • Fax: 315-615-4771
Mailing address:
  • Phone: 315-615-4754
  • Fax: 315-615-4771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: USMAN REHMATULLAH KHAN
Title or Position: CEO
Credential:
Phone: 315-615-4754