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NPI Code Detail

MEDICARE: AHMAD SAJAD KHALEQI

MEDICARE: AHMAD SAJAD KHALEQI
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1346170867
Entity Type Code : Individual
Provider Name (Legal Business Name) : AHMAD SAJAD KHALEQI
Provider Business Mailing Address
First Line : 511 W 142ND ST APT 5
Second Line :
City : NEW YORK
State : NY
Zip : 10031-6734
Country : US
Telephone Number : 332-208-3015
Fax Number :
Provider Business Practice Location Address
First Line : 1623 KINGS HWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-1209
Country : US
Telephone Number : 332-208-3015
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2026
Last Update Date : 05/19/2026

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Directions to “ AHMAD SAJAD KHALEQI ” Practice Location

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