Most Relevant Information
Provider Data
| NPI Number: | 1003290479 |
| Provider Name: | BILAL SHAHZAD AZAM KHAN M.B.B.S |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/16/2015 |
| Last Updated: | 07/16/2015 |
Provider Practice Location
1545 ATLANTIC AVE
BROOKLYN
NY
112131122
Practice Location Phone/Fax
| Phone: | 7186134000 |
| Fax: |
Provider Mailing Location
9518 82ND ST APT 2
OZONE PARK
NY
114161203
Provider Mailing Phone/Fax
| Phone: | 3476149853 |
| Fax: |