Organization
GEO MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NASRULLAH KHAN M.D. (OWNER)
(718) 434-7545
Entity
Organization
Contact information
Practice address
26 NEWKIRK PLZ, BROOKLYN, NY 11226-6525
(718) 434-7545
(718) 434-7564
Mailing address
26 NEWKIRK PLZ, BROOKLYN, NY 11226-6525
(718) 434-7545
(718) 434-7564
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
195819
NY
207R00000X
Internal Medicine Physician
227066
NY
208000000X
Pediatrics Physician
Primary
204511
NY
208000000X
Pediatrics Physician
210632
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01689409
—
NY
Enumeration date
08/04/2005
Last updated
11/15/2022
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