MEDICARE: FLUSHING PRIMARY CARE ASSOCIATES, LLP

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	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1568684660
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLUSHING PRIMARY CARE ASSOCIATES, LLP

Provider Business Mailing Address
First Line	:	72-18 164TH STREET
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11365-4222
Country	:	US
Telephone Number	:	718-969-6640
Fax Number	:	718-969-1050

Provider Business Practice Location Address
First Line	:	72-18 164TH STREET
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11365-4222
Country	:	US
Telephone Number	:	718-969-6640
Fax Number	:	718-969-1050

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. KAVITHA D REDDY
Credential	:	M.D
Telephone Number	:	718-969-6640

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	08/22/2020

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