Individual
BABAK NAKHJAVAN SHAHRAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6970 GRAND CENTRAL PKWY, FOREST HILLS, NY 11375-3949
(460) 071-8263
Mailing address
7558 113TH ST APT 4A, FOREST HILLS, NY 11375-7428
(347) 779-3627
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
123383
NY
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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