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 14 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 |
Popular Providers
-
Salehezadeh, Shawn
4104 27Th St Lowr Level , Long Island City NY 11101-4949 -
Sherrin, Scott Ronald
3180 38Th St , Long Island City NY 11103-3945 -
Fernandez, Glendaly
3711 Queens Blvd , Long Island City NY 11101-1725 -
Hwang, Janet
3711 Queens Blvd , Long Island City NY 11101-1725 -
Juson, Jeremiah Edillor
2301 Queens Plz N Ste C , Long Island City NY 11101 -
Davidson, Joseph
37-11 Queens Blvd , Long Island City NY 11101 -
Veresmortean, Nicolae
4750 41St St 1F, Long Island City NY 11104-3648 -
Sullivan-Maloney, Maura Pegeen
41-40 27Th Street , Long Island City NY 11101