Provider Demographics
NPI:1508534470
Name:COMMUNITY HEALTH MEDICAL CARE PC
Entity Type:Organization
Organization Name:COMMUNITY HEALTH MEDICAL CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAHMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ILKHANIZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-799-0767
Mailing Address - Street 1:3165 EMMONS AVE STE C2-C3
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-1785
Mailing Address - Country:US
Mailing Address - Phone:718-333-1494
Mailing Address - Fax:718-333-1398
Practice Address - Street 1:13249 41ST RD STE 1C
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-4286
Practice Address - Country:US
Practice Address - Phone:718-799-0767
Practice Address - Fax:585-203-0066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-03
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty