MEDICARE: KAAVISH CORP.

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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1285433144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAAVISH CORP.

Provider Business Mailing Address
First Line	:	2159 BATH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-5007
Country	:	US
Telephone Number	:	718-534-1510
Fax Number	:	718-280-7812

Provider Business Practice Location Address
First Line	:	2159 BATH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-5007
Country	:	US
Telephone Number	:	718-534-1510
Fax Number	:	718-280-7812

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HUMA AHMED
Credential	:	PHARMD
Telephone Number	:	718-534-1510

Provider Enumeration Date	:	03/12/2025
Last Update Date	:	03/12/2025

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Directions to “KAAVISH CORP. ” Practice Location

Language	Start Address	Practice Location

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