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NPI Code Detail

MEDICARE: RKD MEDICAL PLLC

MEDICARE: RKD MEDICAL PLLC
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
1261QA1903XAmbulatory Surgical Clinic/Center246186NY

General Provider Information

NPI Number : 1437576477
Entity Type Code : Organization
Provider Name (Legal Business Name) : RKD MEDICAL PLLC
Provider Business Mailing Address
First Line : 2512 148TH ST
Second Line :
City : FLUSHING
State : NY
Zip : 11354-1433
Country : US
Telephone Number : 718-335-5157
Fax Number : 516-706-6026
Provider Business Practice Location Address
First Line : 2512 148TH ST
Second Line :
City : FLUSHING
State : NY
Zip : 11354-1433
Country : US
Telephone Number : 718-200-0723
Fax Number :
Authorized Official
Title or Position : MD
Name : KASHEM ABUL
Credential : MD
Telephone Number : 917-306-8073
Provider Enumeration Date : 03/27/2014
Last Update Date : 04/20/2014

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