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NPI Code Detail

MEDICARE: DR. NASIR MAHMOOD GONDAL MD

MEDICARE: DR. NASIR MAHMOOD GONDAL 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
1207RH0003XHematology & Oncology Physician191119NY

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 : 1962403691
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NASIR MAHMOOD GONDAL MD
Provider Business Mailing Address
First Line : 9785 QUEENS BLVD
Second Line :
City : REGO PARK
State : NY
Zip : 11374-3319
Country : US
Telephone Number : 718-261-9100
Fax Number : 718-997-0347
Provider Business Practice Location Address
First Line : 9785 QUEENS BLVD
Second Line :
City : REGO PARK
State : NY
Zip : 11374-3319
Country : US
Telephone Number : 718-261-9100
Fax Number : 718-997-0347
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2005
Last Update Date : 04/01/2021

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Directions to “ DR. NASIR MAHMOOD GONDAL MD” Practice Location

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