Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 218807 | NY |
NPI | 1053312645 |
---|---|
Provider Name | Dr. Muhammad Abdullah |
First Address | Brooklyn, NY 11209-2103 |
Second Address | Brooklyn, NY 11209-2103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02105842 | (05) | NY |
H 15635 | (02) |