Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 145342 | NY |
N | 207RX0202X | Medical Oncology | 145342 | NY |
NPI | 1063442226 |
---|---|
Provider Name | Abdul Ali Khuwaja |
First Address | Astoria, NY 11103-1625 |
Second Address | Astoria, NY 11103-1625 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 13/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A11585 | (02) | NY |