KHADEZA YESMIN UDDIN PA-C
NPI 1114534963
Physician Assistant - Medical in Flushing, NY

Active since September 25, 2020
5645 MAIN ST, FLUSHING, NY 11355(718) 670-2000 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 22, 2021, Jan 5, 2021, Dec 5, 2020 and 2 more (5 updates tracked since 2020).

About Khadeza Yesmin Uddin Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHADEZA YESMIN UDDIN PA-C (NPI 1114534963) is an individual medical provider in Flushing, New York and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1114534963
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKHADEZA YESMIN UDDINCredential: PA-C
Location Address5645 MAIN STFlushing, NY 11355-5045
Mailing Address5645 Main StFlushing, NY 11355-5045 · (718) 670-2000
Sole ProprietorYes
Enumeration DateSeptember 25, 2020
Last NPPES UpdateDecember 22, 20215 updates tracked since enumeration
NPPES CertifiedDecember 22, 2021
NPI 1114534963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 025610 (NY)
Also ListedPhysician AssistantTaxonomy 363A00000X · License 025610 (NY)
5645 MAIN ST, Flushing, NY 11355

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Anesthesiology
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Nurse Practitioner (Family)
5645 MAIN ST
FLUSHING, NY 11355

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khadeza Uddin's NPI number?

The NPI number for Khadeza Uddin is 1114534963. It was assigned to this individual provider in the NPPES registry on September 25, 2020.

Where is Khadeza Uddin located?

Khadeza Uddin practices at 5645 Main St, Flushing, NY 11355. The listed phone number is (718) 670-2000.

What is Khadeza Uddin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Khadeza Uddin was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.