Individual
DILSHAD FAKHRUDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1081 GATES AVE, BROOKLYN, NY 11221-4303
(718) 443-7007
(718) 443-7005
Mailing address
420 64TH ST, APT 10A, BROOKLYN, NY 11220-4900
(646) 420-8110
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
210936
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210936
LICENSE
NY
Enumeration date
02/08/2007
Last updated
07/25/2008
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