Organization
KRG MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMKUMAR PANHANI MD (OWNER)
(718) 464-6322
Entity
Organization
Contact information
Practice address
21533 JAMAICA AVE, QUEENS VILLAGE, QUEENS VILLAGE, NY 11428-1736
(718) 464-6322
(718) 464-6141
Mailing address
21533 JAMAICA AVE, QUEENS VILLAGE, QUEENS VILLAGE, NY 11428-1736
(718) 464-6322
(718) 464-6141
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
1993981
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01583586
—
NY
01
—
18U831
MEDICARE
NY
Enumeration date
10/23/2008
Last updated
10/23/2008
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