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NPI Code Detail

MEDICARE: SEHAR EJAZ M.D.

MEDICARE: SEHAR EJAZ M.D.
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
12080P0205XPediatric Endocrinology Physician262498NY

General Provider Information

NPI Number : 1649567462
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEHAR EJAZ M.D.
Provider Business Mailing Address
First Line : 2552 STEINWAY ST
Second Line : DEPARTMENT OF PEDIATRICS
City : ASTORIA
State : NY
Zip : 11103-3777
Country : US
Telephone Number : 718-777-6695
Fax Number : 718-777-2387
Provider Business Practice Location Address
First Line : 2552 STEINWAY ST
Second Line : DEPARTMENT OF PEDIATRICS
City : ASTORIA
State : NY
Zip : 11103-3777
Country : US
Telephone Number : 718-777-6695
Fax Number : 718-777-2387
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2011
Last Update Date : 11/14/2014

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