MEDICARE: SAYED FARHAD RASULI MD

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	207R00000X	Internal Medicine Physician	60-P131091-01	NY

General Provider Information

NPI Number	:	1568299832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAYED FARHAD RASULI MD

Provider Business Mailing Address
First Line	:	3408 AVENUE J
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-4126
Country	:	US
Telephone Number	:	646-667-6149
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 WARING AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-6331
Country	:	US
Telephone Number	:	718-379-4400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2024
Last Update Date	:	09/20/2024

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