Khanam, Lutfa
Khanam, Lutfa is an sole proprietor health care provider with primary practice located at 1855 Mott Ave , Far Rockaway NY 11691-4201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Khanam, Lutfa can be contacted via phone (718) 868-8282.Contact Information
Primary practice address
1855 Mott Ave
Far Rockaway NY 11691-4201
Phone: (718) 868-8282
Fax: (718) 471-2865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 200170 | New York |
Profile Details
| NPI number | 1558433599 |
|---|---|
| LBN Legal business name | Khanam, Lutfa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Jun 30th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558433599 | NPPES |
| New York | MEDICAID | 01797891 |
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