Organization
CENTRAL QUEENS IPA,D/B/A SOUTH ASIAN IPA
Active
Parent organization
SOUTH ASIAN IPA
Other names
South Asian IPA
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH ASIAN IPA
Authorized official
DR. FERDOUS KHANDKER MD (MD)
(718) 683-5467
Entity
Organization
Contact information
Practice address
7017 37TH AVE, JACKSON HEIGHTS, NY 11372-3922
(718) 683-5467
(718) 565-5686
Mailing address
7017 37TH AVE, JACKSON HEIGHTS, NY 11372-3922
(718) 683-5467
(718) 565-5686
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
225253
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02300407
—
NY
Enumeration date
11/08/2016
Last updated
11/09/2016
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