Basic Information
| Provider Information | |||||||||
| NPI: | 1174756423 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KAFEEL | ||||||||
| FirstName: | MUHAMMAD | ||||||||
| MiddleName: | IMRAN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 54677 | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900540677 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7184453700 | ||||||||
| FaxNumber: | 7188918911 | ||||||||
| Practice Location | |||||||||
| Address1: | 15806 NORTHERN BLVD | ||||||||
| Address2: | |||||||||
| City: | FLUSHING | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11358 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7184453700 | ||||||||
| FaxNumber: | 7188918911 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/02/2009 | ||||||||
| LastUpdateDate: | 05/18/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0002X | 252385 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | Hospice and Palliative Medicine | 207RH0003X | 252385 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
No ID Information.