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NPI Code Detail

MEDICARE: LOKHAT PHYSICIANS GROUP LLC

MEDICARE: LOKHAT PHYSICIANS GROUP LLC
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
1261QM2500XMedical Specialty Clinic/Center25MD00289800NJ

General Provider Information

NPI Number : 1164677829
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOKHAT PHYSICIANS GROUP LLC
Provider Business Mailing Address
First Line : 1416 PARK AVE
Second Line :
City : PLAINFIELD
State : NJ
Zip : 07060-2911
Country : US
Telephone Number : 201-306-6048
Fax Number :
Provider Business Practice Location Address
First Line : 1416 PARK AVE
Second Line :
City : PLAINFIELD
State : NJ
Zip : 07060-2911
Country : US
Telephone Number : 201-306-6048
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : DR. FATEMA ANJUM A LOKHAT
Credential : DPM
Telephone Number : 201-306-6048
Provider Enumeration Date : 11/22/2008
Last Update Date : 11/22/2008

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Directions to “LOKHAT PHYSICIANS GROUP LLC ” Practice Location

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