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NPI Code Detail

MEDICARE: TAJAMMAL H. GILANI MD

MEDICARE:   TAJAMMAL H. GILANI  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
1207Q00000XFamily Medicine Physician185171NY
2208D00000XGeneral Practice Physician185171NY

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 : 1841363579
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAJAMMAL H. GILANI MD
Provider Business Mailing Address
First Line : 5721 5TH AVE STE A
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-3853
Country : US
Telephone Number : 718-439-1114
Fax Number :
Provider Business Practice Location Address
First Line : 5721 5TH AVE STE A
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-3853
Country : US
Telephone Number : 718-439-1114
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2006
Last Update Date : 12/08/2015

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