MEDICARE: GILANI MEDICAL SERVICES, P.C.

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	208000000X	Pediatrics Physician	185171	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	:	1154706471
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GILANI MEDICAL SERVICES, P.C.

Provider Business Mailing Address
First Line	:	5721 5TH AVE STE A
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3853
Country	:	US
Telephone Number	:	718-439-1114
Fax Number	:

Provider Business Practice Location Address
First Line	:	5721 5TH AVE STE A
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3853
Country	:	US
Telephone Number	:	718-439-1114
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TAJAMMAL GILANI
Credential	:	MD
Telephone Number	:	718-439-1114

Provider Enumeration Date	:	07/28/2015
Last Update Date	:	07/28/2015

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