Alam, Tasbirul Mohammed

Alam, Tasbirul Mohammed is an individual health care provider with primary practice located at 3728 77Th St , Jackson Heights NY 11372-6630. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Alam, Tasbirul Mohammed can be contacted via phone (516) 596-8923.

Contact Information

Primary practice address
3728 77Th St Jackson Heights NY 11372-6630
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101243624 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 249805 New York

Profile Details

NPI number 1104971589
LBN Legal business name Alam, Tasbirul Mohammed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Nov 23rd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104971589 NPPES
New York MEDICAID 1104971589

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