Individual provider · NPI-1

Rafique Ahmed Bhuiyan, M.D.

Internal Medicine · Jackson Heights, NY

NPI number1801106695
StatusActive
Last updated in NPPESOct 26, 2012

Details

NPI
1801106695
Entity type
Individual (NPI-1)
Name
Rafique Ahmed Bhuiyan
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 14, 2010
Last updated
Oct 26, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine258403NYYes

Practice location

7013 37th Ave
Jackson Heights, NY 11372-3922

Phone 718-205-8700 · Fax 718-205-8702

Mailing address

7013 37th Ave
Jackson Heights, NY 11372-3922

Phone 718-205-8700 · Fax 718-205-8702

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