Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 178907 | NY |
Y | 208600000X | Surgeon | 178907 | NY |
N | 2086S0105X | Surgery of the Hand | 178907 | NY |
NPI | 1316912041 |
---|---|
Provider Name | Dr. Kamran Shaukat |
First Address | Mount Vernon, NY 10550-2026 |
Second Address | Huntington, NY 11743-2917 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 17/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01197653 | (05) | NY |
E71607 | (02) |