MEDICARE: DR. JAVED I SAQIB 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	207RN0300X	Nephrology Physician	192826	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1750321030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAVED I SAQIB MD

Provider Business Mailing Address
First Line	:	11 4TH ST
Second Line	:
City	:	FARMINGDALE
State	:	NY
Zip	:	11735-3810
Country	:	US
Telephone Number	:	718-462-7315
Fax Number	:	718-462-7379

Provider Business Practice Location Address
First Line	:	693 CONEY ISLAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-4306
Country	:	US
Telephone Number	:	718-462-7315
Fax Number	:	718-462-7379

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

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	07/08/2007

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