Provider Demographics
NPI:1780038265
Name:STANDARD CARE MEDICAL PC
Entity Type:Organization
Organization Name:STANDARD CARE MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:IRSHAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-488-4543
Mailing Address - Street 1:1017 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-2836
Mailing Address - Country:US
Mailing Address - Phone:347-488-4543
Mailing Address - Fax:929-500-2939
Practice Address - Street 1:27111 76TH AVE
Practice Address - Street 2:C/O DR. NADIA IRSHAD, MD, DEPT. OF MEDICINE-2ND FLOOR
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-1436
Practice Address - Country:US
Practice Address - Phone:347-488-4543
Practice Address - Fax:929-500-2939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY277919207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FI5749885OtherDEA