Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 254147 | NY |
NPI | 1568622397 |
---|---|
Provider Name | Dr. Khalid Saifullah Ahmad |
First Address | Farmingville, NY 11738-1839 |
Second Address | Farmingville, NY 11738-1839 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2008 |
Last Update Date | 25/05/2021 |