Dr. Khaled Omar Elbanna, MD
Family Medicine in Astoria, NY. Individual provider (NPI-1).
NPI number1790733210
StatusActive
Last updated in NPPESFeb 1, 2021
Details
- NPI
- 1790733210
- Entity type
- Individual (NPI-1)
- Name
- Dr. Khaled Omar Elbanna
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 5, 2006
- Certification date
- Feb 1, 2021
- Last updated
- Feb 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 224801-1 | NY | Yes |
Practice location
2543 Steinway StreetAstoria, NY 11103
Phone 718-706-8060 · Fax 718-706-8650
Mailing address
2543 Steinway StreetAstoria, NY 11103-3503
Phone 718-706-8060 · Fax 718-707-8650
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