Organization
VERSALIS MED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRAN KHAN PHD (PRESIDENT/FOUNDER)
(347) 909-3063
Entity
Organization
Contact information
Practice address
2079 E 23RD ST STE C, BROOKLYN, NY 11229-3627
(347) 909-3063
Mailing address
2079 E 23RD ST STE C, BROOKLYN, NY 11229-3627
(347) 909-3063
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/06/2021
Last updated
03/10/2021
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