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NPI Code Detail

MEDICARE: SHAHNOZAKHON AKHMEDOVA MSED

MEDICARE: SHAHNOZAKHON AKHMEDOVA MSED
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
1174400000XSpecialistNY

General Provider Information

NPI Number : 1548006281
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAHNOZAKHON AKHMEDOVA MSED
Provider Business Mailing Address
First Line : 2571 E 17TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-3585
Country : US
Telephone Number : 927-371-2131
Fax Number :
Provider Business Practice Location Address
First Line : 2571 E 17TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-3585
Country : US
Telephone Number : 927-371-2131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2024
Last Update Date : 07/02/2024

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Directions to “ SHAHNOZAKHON AKHMEDOVA MSED” Practice Location

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