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Individual

MAHDI AL IKHWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1276 FULTON AVE, 4TH FLOOR FAMILY MEDICINE, BRONX, NY 10456-3402
(718) 901-8297
Mailing address
10440 QUEENS BLVD, APT 4X, FOREST HILLS, NY 11375-3637

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AT-1823194
NY

Other

Enumeration date
06/24/2016
Last updated
06/24/2016
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