Provider Demographics
NPI:1003776857
Name:BASIC MEDICAL PC
Entity type:Organization
Organization Name:BASIC MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAHMINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIKDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-912-6300
Mailing Address - Street 1:17227 HIGHLAND AVE APT 1B
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-2800
Mailing Address - Country:US
Mailing Address - Phone:718-558-9070
Mailing Address - Fax:
Practice Address - Street 1:17227 HIGHLAND AVE APT 1B
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-2800
Practice Address - Country:US
Practice Address - Phone:718-558-9070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-14
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty