Healthcare Provider Details

I. General information

NPI: 1942862685
Provider Name (Legal Business Name): DR. RASHID EMAM GHANI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2019
Last Update Date: 07/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SHELART ST
PLAINVIEW NY
11803-1420
US

IV. Provider business mailing address

11901 JAMAICA AVE
RICHMOND HILL NY
11418-2597
US

V. Phone/Fax

Practice location:
  • Phone: 516-349-3091
  • Fax:
Mailing address:
  • Phone: 516-349-3091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835N0905X
TaxonomyNuclear Pharmacist
License Number033312
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier033312
Identifier TypeOTHER
Identifier StateNY
Identifier IssuerNOT APPLICABLE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: