Monzur, Mohammed A.

Monzur, Mohammed A. is an individual health care provider with primary practice located at 62 Hackett Blvd , Albany NY 12209-1718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Monzur, Mohammed A. can be contacted via phone (518) 434-2244.

Contact Information

Primary practice address
62 Hackett Blvd Albany NY 12209-1718
Fax: (518) 434-4659
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 203395-1 New York

Profile Details

NPI number 1063404234
LBN Legal business name Monzur, Mohammed A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jul 8th, 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 1063404234 NPPES
New York MEDICAID 01807309

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