MEDICARE: VEK CONSULTING 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
1	208800000X	Urology Physician

General Provider Information

NPI Number	:	1295153310
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VEK CONSULTING LLC

Provider Business Mailing Address
First Line	:	11115 QUEENS BLVD
Second Line	:	SUITE B
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-7479
Country	:	US
Telephone Number	:	718-520-2300
Fax Number	:

Provider Business Practice Location Address
First Line	:	11115 QUEENS BLVD
Second Line	:	SUITE B
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-7479
Country	:	US
Telephone Number	:	718-520-2300
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. LEVAN KHASIDY
Credential	:	M.D.
Telephone Number	:	718-520-2300

Provider Enumeration Date	:	04/05/2014
Last Update Date	:	04/05/2014

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