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NPI Code Detail

MEDICARE: KAO PHYSICIAN MEDICAL PC

MEDICARE: KAO PHYSICIAN MEDICAL PC
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
1208D00000XGeneral Practice Physician247810NY

General Provider Information

NPI Number : 1649512906
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAO PHYSICIAN MEDICAL PC
Provider Business Mailing Address
First Line : 900 E TREMONT AVE
Second Line :
City : BRONX
State : NY
Zip : 10460-4355
Country : US
Telephone Number : 347-918-8822
Fax Number : 347-918-8821
Provider Business Practice Location Address
First Line : 900 E TREMONT AVE
Second Line :
City : BRONX
State : NY
Zip : 10460-4355
Country : US
Telephone Number : 347-918-8822
Fax Number : 347-918-8821
Authorized Official
Title or Position : OWNER
Name : OSMAN KHALED
Credential :
Telephone Number : 347-918-8822
Provider Enumeration Date : 03/25/2013
Last Update Date : 03/25/2013

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Directions to “KAO PHYSICIAN MEDICAL PC ” Practice Location

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