Individual
DR. OMAR KAMAAL KHALIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 342-3616
(212) 342-3640
Mailing address
630 W 168TH ST, BOX 4, NEW YORK, NY 10032-3725
(212) 342-3616
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
260639-1
NY
207RC0001X
Clinical Cardiac Electrophysiology Physician
260639
NY
Other
Enumeration date
03/11/2011
Last updated
06/14/2017
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