MEDICARE: FARAJ GADEE MD

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	207R00000X	Internal Medicine Physician	218041	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013026277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARAJ GADEE MD

Provider Business Mailing Address
First Line	:	1310 AVENUE R APT 2H
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-2843
Country	:	US
Telephone Number	:	718-336-6687
Fax Number	:	718-336-6687

Provider Business Practice Location Address
First Line	:	1503 GRAVESEND NECK RD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4428
Country	:	US
Telephone Number	:	718-259-9700
Fax Number	:	718-382-6319

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/08/2007

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