# 786 MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407174121
- **Authorized official:** DR. RAFIQ CHAUDHRY M.D. (DOCTOR)
- **Authorized official phone:** (718) 220-8300

## Contact information

- **Practice address:** 817 E 180TH ST, BRONX, NY 10460-1305
- **Practice address phone:** (718) 220-8300
- **Practice address fax:** (718) 220-8330
- **Mailing address:** 817 E 180TH ST, BRONX, NY 10460-1305
- **Mailing address phone:** (718) 220-8300
- **Mailing address fax:** (718) 220-8330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2010
- **Last updated:** 05/05/2010