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Organization
LOLA ISKHAKOVA PHYSICIAN PLLC
Active
Organization
LOLA ISKHAKOVA PHYSICIAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOLA ISKHAKOVA MD (MD)
(347) 420-3353
Entity
Organization
Contact information
Practice address
9916 97TH ST, OZONE PARK, NY 11416-2509
(347) 420-3353
(718) 236-1055
Mailing address
6520 BOOTH ST, # 3B, REGO PARK, NY 11374-4084
(347) 420-3353
(718) 236-1055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
273766
MEDICAL LICENSE
—
Enumeration date
05/08/2016
Last updated
05/08/2016
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