| Organization Name: | KAO PHYSICIAN MEDICAL PC |
| NPI Number: | 1649512906 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | OSMAN KHALED (OWNER) |
| Mailing Address: | 900 E Tremont Ave Bronx |
| State: | NY US |
| Postal Code: | 104604355 |
| Phone Number: | 3479188822 |
| Fax Number: | 3479188821 |
| NPI Enumeration Date: | 03/25/2013 |
| NPI Last Update Date: | 03/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 247810 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |