Muwwakkil, Khadijah

Muwwakkil, Khadijah is an individual health care provider with primary practice located at 20905 Jamaica Ave , Queens Village NY 11428-1548. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Muwwakkil, Khadijah can be contacted via phone (347) 542-5813.

Contact Information

Primary practice address
20905 Jamaica Ave Queens Village NY 11428-1548
Phone: (347) 542-5813
Fax: (718) 445-0951
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1417429762
LBN Legal business name Muwwakkil, Khadijah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2018
Last updated Dec 27th, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417429762 NPPES
New York MEDICAID 3299096

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