Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 273462 | NY |
NPI | 1023354800 |
---|---|
Provider Name | Dr. Malik Megjhani |
First Address | Elmhurst, NY 11373 |
Second Address | Elmhurst, NY 11373 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2012 |
Last Update Date | 07/07/2014 |