Basic Information
Provider Information
NPI: 1487751137
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KHOKHAR
FirstName: RUBINA
MiddleName: SHAKIL
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 600 E 233RD ST
Address2: 5TH FLOOR
City: BRONX
State: NY
PostalCode: 104662604
CountryCode: US
TelephoneNumber: 7189209648
FaxNumber: 7189209095
Practice Location
Address1: 4350 VAN CORTLANDT PARK E
Address2:  
City: BRONX
State: NY
PostalCode: 104701875
CountryCode: US
TelephoneNumber: 7186550258
FaxNumber: 7186552882
Other Information
ProviderEnumerationDate: 09/17/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X239866-1NYY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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