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NPI Code Detail

MEDICARE: WALEED INAYAT M. M. ALLAH DITA M.D.

MEDICARE: WALEED INAYAT M. M. ALLAH DITA 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1770414997
Entity Type Code : Individual
Provider Name (Legal Business Name) : WALEED INAYAT M. M. ALLAH DITA M.D.
Provider Business Mailing Address
First Line : 760 BROADWAY
Second Line : 8AB-26
City : BROOKLYN
State : NY
Zip : 11206
Country : US
Telephone Number : 646-614-5318
Fax Number :
Provider Business Practice Location Address
First Line : 760 BROADWAY
Second Line : 8AB-26
City : BROOKLYN
State : NY
Zip : 11206
Country : US
Telephone Number : 718-963-5806
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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