| Ilyagu Medical PC | |
|
17 W 9th St Brooklyn NY 11231-2501 | |
| (646) 687-2838 | |
| Not Available |
| Full Name | Ilyagu Medical PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 17 W 9th St, Brooklyn, New York |
| Authorized Official Name and Position | Nabeel Babar (ADMINISTRATOR) |
| Authorized Official Contact | 6466872838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ilyagu Medical PC 221 Sea Breeze Ave Apt Ph2b Brooklyn NY 11224-3454 Ph: (646) 687-2838 | Ilyagu Medical PC 17 W 9th St Brooklyn NY 11231-2501 Ph: (646) 687-2838 |
| NPI Number | 1730859935 |
|---|---|
| Provider Enumeration Date | 09/18/2021 |
| Last Update Date | 06/05/2026 |
| Certification Date | 06/05/2026 |
| Medicare PECOS PAC ID | 1658751417 |
|---|---|
| Medicare Enrollment ID | O20220711001740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730859935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Allette Mcpherson-cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386952323 PECOS PAC ID: 4587979794 Enrollment ID: I20150818003794 |
| Provider Name | Bhupinderjit Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225490956 PECOS PAC ID: 5092003665 Enrollment ID: I20161013002379 |
| Provider Name | Mark Ilyagu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073994711 PECOS PAC ID: 8820340151 Enrollment ID: I20181015000980 |
| Provider Name | Pamela a Rizkalla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891131124 PECOS PAC ID: 9931495223 Enrollment ID: I20200422000996 |
| Provider Name | Yelena Shats |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952826497 PECOS PAC ID: 2062804032 Enrollment ID: I20220125001487 |
| Provider Name | Tremaine Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093247926 PECOS PAC ID: 2961897798 Enrollment ID: I20220315000568 |
| Provider Name | Fatima Malik Malik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366101719 PECOS PAC ID: 5092257709 Enrollment ID: I20240610003192 |
| Provider Name | Brucha Wanounou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962230607 PECOS PAC ID: 8426596024 Enrollment ID: I20240814001733 |
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