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General NPI Number Information
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NPI Number | 1114480076
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Entity Type | Individual
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Provider Name | NAVINDRA KHALIKAPRASAD MD
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Gender | Male
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Dates
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Enumeration Date | 04/08/2019
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 8900 VAN WYCK EXPY
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City | JAMAICA
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State | NY
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Zip | 11418-2897
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Country | US
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Telephone | 718-206-6768
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Fax |
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Provider Business Mailing Address
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Address Line | 12206 111TH AVE
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City | SOUTH OZONE PARK
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State | NY
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Zip | 11420-1416
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Country | US
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Telephone | 718-323-5077
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 319135
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License Number State | NY
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