Imam, Mohammed N

Imam, Mohammed N is an individual health care provider with primary practice located at 501 Seaview Ave Suite 202, Staten Island NY 10305-3419. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Imam, Mohammed N can be contacted via phone (718) 226-6201.

Contact Information

Primary practice address
501 Seaview Ave Suite 202 Staten Island NY 10305-3419
Phone: (718) 226-6201
Fax: (718) 226-1563
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 285039 New York

Profile Details

NPI number 1407892292
LBN Legal business name Imam, Mohammed N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Apr 25th, 2023 - about 2 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 1407892292 NPPES
Kentucky MEDICAID 64050214

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