Individual
KHALEDA BILLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4036 74TH ST, ELMHURST, NY 11373-5630
(718) 426-6600
Mailing address
PO BOX 29889, NEW YORK, NY 10087-9889
(800) 376-5566
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
149482
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00746290
—
NY
01
—
83AO1
MEDICARE
NY
Enumeration date
07/18/2006
Last updated
07/21/2022
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