Provider Demographics
NPI:1740779305
Name:DILRUBA R. NABI MEDICAL, P.C.
Entity Type:Organization
Organization Name:DILRUBA R. NABI MEDICAL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DILRUBA
Authorized Official - Middle Name:R
Authorized Official - Last Name:NABI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-204-6027
Mailing Address - Street 1:8301 PETTIT AVE
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-2347
Mailing Address - Country:US
Mailing Address - Phone:718-424-3131
Mailing Address - Fax:718-606-8783
Practice Address - Street 1:4114 JUDGE ST
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-2344
Practice Address - Country:US
Practice Address - Phone:718-424-3131
Practice Address - Fax:728-606-8783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-08
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY205570207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty