Mohammad, Wali
Mohammad, Wali is an sole proprietor health care provider with primary practice located at 2880 Baisley Ave , Bronx NY 10461-6117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Mohammad, Wali can be contacted via phone (718) 918-9158.Contact Information
Primary practice address
2880 Baisley Ave
Bronx NY 10461-6117
Phone: (718) 918-9158
Fax: (718) 822-3990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 135344 | New York |
Profile Details
| NPI number | 1437159548 |
|---|---|
| LBN Legal business name | Mohammad, Wali |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Aug 14th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437159548 | NPPES |
| New York | MEDICAID | 00390565 |
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