Organization
JAMES J PETERS VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HIMAD ULLAH KHAN KHATTAK M.D. (RESIDENT)
(347) 205-3517
Entity
Organization
Contact information
Practice address
3489 FORT INDEPENDENCE ST APT 5G, BRONX, NY 10463-4546
(347) 205-3517
Mailing address
3489 FORT INDEPENDENCE ST APT 5G, BRONX, NY 10463-4546
(347) 205-3517
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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