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NPI Code Detail

MEDICARE: 786 MEDICAL PC

MEDICARE: 786 MEDICAL PC
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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1407174121
Entity Type Code : Organization
Provider Name (Legal Business Name) : 786 MEDICAL PC
Provider Business Mailing Address
First Line : 817 E 180TH ST
Second Line :
City : BRONX
State : NY
Zip : 10460-1305
Country : US
Telephone Number : 718-220-8300
Fax Number : 718-220-8330
Provider Business Practice Location Address
First Line : 817 E 180TH ST
Second Line :
City : BRONX
State : NY
Zip : 10460-1305
Country : US
Telephone Number : 718-220-8300
Fax Number : 718-220-8330
Authorized Official
Title or Position : DOCTOR
Name : DR. RAFIQ CHAUDHRY
Credential : M.D.
Telephone Number : 718-220-8300
Provider Enumeration Date : 05/05/2010
Last Update Date : 05/05/2010

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Directions to “786 MEDICAL PC ” Practice Location

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