KHADEZA YESMIN UDDIN (NPI# 1114534963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114534963 |
| Entity Type | Individual |
| Full Name | KHADEZA YESMIN UDDIN |
| Credential | PA-C |
| Practice Address |
8708 Justice Ave Ste C6 Elmhurst NY 11373-4590 |
| Practice Telephone | 5168084123 |
| Practice Fax Number | 7185078867 |
| Mailing Telephone | 5168084123 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
025610 | NY | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | 025610 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 02561001 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8708 JUSTICE AVE STE C6 |
| City | ELMHURST |
| State | NY |
| Zip Code | 11373-4590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124286034 | Chuansheng Wang | Internal Medicine | 8708 Justice Ave Ste C6, Elmhurst, NY 11373-4590 | 2008-05-28 |
| 1750794657 | Elmhurst Queens Gastroenterology and Hepatology Medical Consultant P.c | Internal Medicine | 8708 Justice Ave Ste C6, Elmhurst, NY 11373-4590 | 2014-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152736 | Carlos Eduardo Hallo Carrasco | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 | 2020-07-30 |
| 1912524034 | Jurian Feygen Kaunang | Student in an Organized Health Care Education/Training Program | Bronx-lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 11373 | 2020-07-06 |
| 1407471352 | Shreeya Parajull | Student in an Organized Health Care Education/Training Program | 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 | 2020-06-16 |
| 1114542479 | Mahmud Omar Elfituri | Student in an Organized Health Care Education/Training Program | 79-01 Boradway, Elmhurst, NY 11373 | 2020-06-12 |
| 1568091452 | Nudjarin Unsin | Licensed Practical Nurse | 7517 41stave, Apt.f3, Elmhurst, NY 11373 | 2020-04-03 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1821647926 | Shahorin Monzoor | Student in an Organized Health Care Education/Training Program | 81 14 Queens Boulavard, 1st Floor, Elmhurst, NY 11373 | 2019-09-11 |
| 1174184600 | Zoila Josefina Cano Rodriguez | Student in an Organized Health Care Education/Training Program | 7802 41st Ave, Elmhurst, NY 11373 | 2019-06-25 |
| 1891355756 | Kanghee Cho | Registered Nurse | 4143 77th St Elmhurst, Elmhurst, NY 11373 | 2019-06-13 |
| 1861971947 | Allen G Luke | Acupuncturist | 86-21 53 Ave, Elmhurst, NY 11373 | 2018-08-09 |
| Find all providers in zip 11373 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093262818 | New York Gastroenterology and Endoscopy PC | Internal Medicine | 7911 41st Ave Apt A108, Elmhurst, NY 11373-1217 | 2016-09-09 |
| 1841533254 | Danish Shahab | Internal Medicine | 133 E Brush Hill Rd Ste 100&400, Elmhurst, IL 60126-5659 | 2013-04-03 |
| 1427074590 | Chandhini Ramaiah | Internal Medicine | 8712 58th Avenue, Elmhurst, NY 11373-9821 | 2006-07-14 |
| 1356392419 | Patrick J Lynch | Internal Medicine | 133 E. Brush Hill Rd, Suite 310, Elmhurst, IL 60126 | 2006-05-13 |
| 1265439194 | Michele Frances Belding | Internal Medicine | 8708 Justice Ave, Suite Ce, Elmhurst, NY 11373-4575 | 2005-07-07 |
| 1275060832 | Standard Gastroenterology and Endoscopy PC | Internal Medicine | 7911 41st Ave, Elmhurst, NY 11373-1258 | 2017-05-15 |
| 1871930073 | Igal Khorshidi, M.d., P.C. | Internal Medicine | 7911 41st Ave, A108, Elmhurst, NY 11373-1258 | 2013-05-29 |
| 1326300120 | Adelina Hung | Internal Medicine | 133 E Brush Hill Rd Ste 100, Elmhurst, IL 60126 | 2012-06-08 |
| 1629367966 | Atena Lodhi | Internal Medicine | 133 E Brush Hill Rd, Ste 310, Elmhurst, IL 60126 | 2011-04-06 |
| 1144547050 | Raghav Bansal | Internal Medicine | 7901 Broadway, Room No D3 22f, Elmhurst, NY 11373-1329 | 2010-05-02 |
| Find all providers in ELMHURST | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.