Hasan, Choudhury Manjurul

Hasan, Choudhury Manjurul is an individual health care provider with primary practice located at 8405 169Th St , Jamaica NY 11432-2033. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Hasan, Choudhury Manjurul can be contacted via phone (718) 657-8001.

Contact Information

Primary practice address
8405 169Th St Jamaica NY 11432-2033
Fax: (718) 732-0783
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 193570 New York
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 193570 New York

Profile Details

NPI number 1780661009
LBN Legal business name Hasan, Choudhury Manjurul
Credentials M.D FACC, FCCP,FSACI
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Sep 25th, 2007 - about 17 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 1780661009 NPPES
New York MEDICAID 01878124

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