Ullah, Mohammad Iftekhar

Ullah, Mohammad Iftekhar is an individual health care provider with primary practice located at 2500 North State Street Department Of Medicine Division Of General Internal Med, Jackson MS 39216. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Ullah, Mohammad Iftekhar can be contacted via phone (601) 984-5660.

Contact Information

Primary practice address
2500 North State Street Department Of Medicine Division Of General Internal Med Jackson MS 39216
Phone: (601) 984-5660
Fax: (601) 984-6870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 20270 Mississippi
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 46137 Minnesota

Profile Details

NPI number 1659355949
LBN Legal business name Ullah, Mohammad Iftekhar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Jan 23rd, 2015 - about 9 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 1659355949 NPPES
Minnesota MEDICAID 131016
Minnesota Other 1907892
Minnesota Other 8315
Minnesota Other 04-06055
Minnesota Other A068
Minnesota Other MH9041035166
Minnesota Other 099K8UL
Minnesota MEDICAID 099K8UL
Minnesota MEDICAID 644957300
Minnesota MEDICAID 06022776
Minnesota Other HP39736
Minnesota Other P00628051
Minnesota MEDICAID 566034

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