Basic Information
Provider Information
NPI: 1104209717
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: XHOXHI
FirstName: EVGJENI
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential:  
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OtherLastName:  
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Mailing Information
Address1: 4422 3RD AVE
Address2: DEPT INTERNAL MEDICINE MILLS 3RD FL
City: BRONX
State: NY
PostalCode: 104572545
CountryCode: US
TelephoneNumber: 7189606202
FaxNumber: 7189603486
Practice Location
Address1: 4422 3RD AVE
Address2: DEPT INTERNAL MEDICINE MILLS 3RD FL
City: BRONX
State: NY
PostalCode: 10457
CountryCode: US
TelephoneNumber: 7189606202
FaxNumber: 7189603486
Other Information
ProviderEnumerationDate: 06/30/2015
LastUpdateDate: 07/19/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X294422NYY193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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