Individual provider · Type 1 NPI
Khadeza Yesmin Uddin, PA-C
Medical Physician Assistant · Flushing, NY
NPI number
1114534963
Active
Practice location
5645 Main St
Flushing, NY 11355-5045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gastroenterology Physician | 207RG0100X | 025610 (NY) |
| Physician Assistant | 363A00000X | 025610 (NY) |
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1114534963
Khadeza Yesmin Uddin, PA-C's National Provider Identifier is 1114534963, issued on Sep 25, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Flushing, NY. The record was last updated on Dec 22, 2021.