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NPI Code Detail

MEDICARE: DR. IQBAL TAK MD

MEDICARE:  DR. IQBAL  TAK  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
1207RI0200XInfectious Disease Physician195390NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639197486
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IQBAL TAK MD
Provider Business Mailing Address
First Line : 8561 111TH ST
Second Line :
City : RICHMOND HILL
State : NY
Zip : 11418-1638
Country : US
Telephone Number : 718-869-6882
Fax Number :
Provider Business Practice Location Address
First Line : 8561 111TH ST
Second Line :
City : RICHMOND HILL
State : NY
Zip : 11418-1638
Country : US
Telephone Number : 718-869-6882
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 12/23/2024

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