Individual
DR. KABIR REZVANKHOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-6204
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 203-3947
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
AN1865243-P85
NY
207P00000X
Emergency Medicine Physician
Primary
Q7455
TX
390200000X
Student in an Organized Health Care Education/Training Program
1
DC
Other
Enumeration date
10/29/2008
Last updated
03/06/2017
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