Shahabuddin, Mohammed
Shahabuddin, Mohammed is an sole proprietor health care provider with primary practice located at 3004 36Th Ave , Long Island City NY 11106-2315. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Shahabuddin, Mohammed can be contacted via phone (718) 361-8677.Contact Information
Primary practice address
3004 36Th Ave
Long Island City NY 11106-2315
Phone: (718) 361-8677
Fax: (718) 361-0278
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 042617 | New York |
Profile Details
| NPI number | 1245229210 |
|---|---|
| LBN Legal business name | Shahabuddin, Mohammed |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Apr 26th, 2012 - about 12 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 | 1245229210 | NPPES |
| New York | MEDICAID | 01172485 |
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