Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 1197461 | NY |
N | 207R00000X | Internist | 119746 | NY |
N | 111NI0900X | Internist | 119746 | NY |
Y | 207RA0401X | Internist - Addiction Medicine | 119746-1 | NY |
NPI | 1326131715 |
---|---|
Provider Name | Dr. Mohammed H Kabir |
First Address | Troy, NY 12180-3440 |
Second Address | Troy, NY 12180-3440 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2006 |
Last Update Date | 19/07/2013 |