Organization
MEDICAL PROFESSIONAL HEALTHCARE WOODSIDE P.C.
Active
Other names
MEDPRO
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHIDA KHAN MD (CEO)
(718) 550-2273
Entity
Organization
Contact information
Practice address
6527 ROOSEVELT AVE # 1A, WOODSIDE, NY 11377-2927
(718) 550-2273
(718) 550-2274
Mailing address
6527 ROOSEVELT AVE # 1A, WOODSIDE, NY 11377-2927
(718) 550-2273
(718) 550-2274
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/14/2021
Last updated
10/25/2024
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