Healthcare Provider Details

I. General information

NPI: 1134713506
Provider Name (Legal Business Name): JANA MILHIM GHULMIYYAH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2021
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4813 9TH AVENUE 3RD FLOOR
BROOKLYN NY
11220
US

IV. Provider business mailing address

1233 YORK AVENUE APT 19I
NEW YORK NY
10065
US

V. Phone/Fax

Practice location:
  • Phone: 718-283-8432
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License Number319189
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: