MEDICARE: JARINA BEGUM

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	60-P130962-01	NY

General Provider Information

NPI Number	:	1093534885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JARINA BEGUM

Provider Business Mailing Address
First Line	:	16317 BROOK FOREST DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77059-6501
Country	:	US
Telephone Number	:	281-508-3896
Fax Number	:

Provider Business Practice Location Address
First Line	:	989 BLOSSOM RD
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14610-2251
Country	:	US
Telephone Number	:	585-482-3500
Fax Number	:

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

Provider Enumeration Date	:	10/08/2024
Last Update Date	:	10/08/2024

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