Mohammed Mansoorul Imam in Elmhurst - General Practice

Mohammed Mansoorul Imam - NPI 1598754947

Mohammed Mansoorul Imam is a General Practice in Elmhurst, New York. Mohammed Mansoorul Imam practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mohammed Mansoorul Imam is 1598754947. The last update date is 2010-11-12.

Mohammed Mansoorul Imam's current location address is 5611 94th St, Elmhurst, New York. You can contact this provider via phone number 7182714424 and fax number 7182714799. The mailing address for Mohammed Mansoorul Imam is 5611 94th St, Elmhurst, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Mohammed Mansoorul Imam
Address 5611 94th St, Elmhurst, New York
Phone Number 7182714424
Fax Number 7182714799
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1598754947
Provider Enumeration Date 2005-10-18
Last Updated Date 2010-11-12

Provider Mailing Address Detail

Address 5611 94th St
City Elmhurst
State New York (NY)
Post Code 113735080
Phone Number 7182714424
Fax Number 7182714799

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 49149
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2241183 NY --

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FAQs about Mohammed Mansoorul Imam

What is the Mohammed Mansoorul Imam's 1598754947?

The Mohammed Mansoorul Imam's NPI (National Provider Identifier) Number is 1598754947. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Mohammed Mansoorul Imam's facilities are geographically located?

The facilities of Mohammed Mansoorul Imam are physically situated at the following location: 5611 94Th St, Elmhurst, NY, 113735080.

What is Mohammed Mansoorul Imam's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mohammed Mansoorul Imam is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date did the Mohammed Mansoorul Imam receive its 1598754947 assignment from the Centers for Medicare & Medicaid Services?

The Mohammed Mansoorul Imam was assigned its 1598754947 by the Centers for Medicare & Medicaid Services on 2005-10-18.

When was the information regarding Mohammed Mansoorul Imam most recently updated?

The details pertaining to the Mohammed Mansoorul Imam, including its address, specialty, and other relevant information, were last refreshed on 2010-11-12.

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