Provider Demographics
NPI:1134321847
Name:PAK MEDICAL & HEALTH SERVICES, CORP.
Entity Type:Organization
Organization Name:PAK MEDICAL & HEALTH SERVICES, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAHID
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHAUDHARY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-951-7973
Mailing Address - Street 1:166 CALLE VALENCIA
Mailing Address - Street 2:LA SALAMANCA
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-4633
Mailing Address - Country:US
Mailing Address - Phone:787-951-7973
Mailing Address - Fax:787-892-1648
Practice Address - Street 1:AVENIDA LOS ATLETICOS # 222
Practice Address - Street 2:BAJOS CLINILAB
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683
Practice Address - Country:US
Practice Address - Phone:787-751-7973
Practice Address - Fax:787-892-1648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16284208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty