KRG Medical PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

1993981 Issued in NY

Legal business name

KRG MEDICAL PC

Practice address

21533 Jamaica Ave
Queens Village
Queens Village, NY 11428-1736

Phone

(718) 464-6322

Fax

(718) 464-6141

NPI assigned

Oct 23, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ramkumar Panhani, MD

Title

Owner

Phone

(718) 464-6322

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1386897247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21533 JAMAICA AVE",
            "address_2": "QUEENS VILLAGE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281736",
            "telephone_number": "718-464-6322",
            "fax_number": "718-464-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21533 JAMAICA AVE",
            "address_2": "QUEENS VILLAGE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281736",
            "telephone_number": "718-464-6322",
            "fax_number": "718-464-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRG MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "PANHANI",
        "authorized_official_first_name": "RAMKUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-464-6322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "1993981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "18U831",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01583586",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bon C. Koo, M.D.
• Ginu Korah
• Shani Kornbluth, RN
• Saramma Koshy
• Kosica Health Services
• Vandana Kumar, RPH
• Romi Kumari, M.D.
• Saramma Sam Kuriakose
• Binoy Kurian Kuriakose
• Gemini Kurian

• Primary Care Clinic/Center in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.