KRG MEDICAL PC NPI 1386897247

NPI Information

NPI: 1386897247
Provider Name: KRG MEDICAL PC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Address: 21533 JAMAICA AVE
QUEENS VILLAGE
QUEENS VILLAGE, NY
ZIP 11428
Phone: (718) 464-6322

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NPI Details

KRG MEDICAL PC is a primary care clinic center in Queens Village, NY. KRG MEDICAL PC NPI is 1386897247. The provider is registered as an organization entity type.

The provider's business location address is:

21533 JAMAICA AVE
QUEENS VILLAGE
QUEENS VILLAGE, NY
ZIP 11428-736
Phone: (718) 464-6322
Fax: (718) 464-6141

The provider's authorized official is Ramkumar Panhani .
The authorized official title is Owner and has the following contact phone number (718) 464-6322.

The enumeration date for this NPI number is 10/23/2008 and was last updated on 10/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	1993981	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	18U831	OTHER	NEW YORK	MEDICARE
2	G39665	MEDICARE UPIN	NEW YORK
3	01583586	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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