Reza, Wadud

Reza, Wadud is an sole proprietor health care provider with primary practice located at 2 Business Park Ct , Utica NY 13502-6308. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Reza, Wadud can be contacted via phone (315) 982-0692.

Contact Information

Primary practice address
2 Business Park Ct Utica NY 13502-6308
Phone: (315) 982-0692
Fax: (315) 732-0481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 20799 Ohio
Dental Providers / Dentist 122300000X 054818 New York

Profile Details

NPI number 1063526226
LBN Legal business name Reza, Wadud
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated Jan 2nd, 2014 - about 10 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 1063526226 NPPES
Ohio Other 20-1660371 TAX ID
Ohio MEDICAID 219-0516 TAX ID
Ohio MEDICAID 03236220 TAX ID

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