Most Relevant Information
Provider Data
| NPI Number: | 1003595208 |
| Provider Name: | FAKEHA MASOOD MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/14/2023 |
| Last Updated: | 07/14/2023 |
Provider Practice Location
1650 GRAND CONCOURSE
-
BRONX
NY
10457
Practice Location Phone/Fax
| Phone: | 7189601449 |
| Fax: |
Provider Mailing Location
1770 GRAND CONCOURSE APT 5C
BRONX
NY
104575527
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |