MEDICARE: DR. RASHID EMAM GHANI

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	1835N0905X	Nuclear Pharmacist	033312	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	033312	OTHER	NY	NOT APPLICABLE

General Provider Information

NPI Number	:	1942862685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RASHID EMAM GHANI

Provider Business Mailing Address
First Line	:	11901 JAMAICA AVE
Second Line	:
City	:	RICHMOND HILL
State	:	NY
Zip	:	11418-2597
Country	:	US
Telephone Number	:	516-349-3091
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 SHELART ST
Second Line	:
City	:	PLAINVIEW
State	:	NY
Zip	:	11803-1420
Country	:	US
Telephone Number	:	516-349-3091
Fax Number	:

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

Provider Enumeration Date	:	07/02/2019
Last Update Date	:	07/02/2019

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