Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 281261 | NY |
NPI | 1013238732 |
---|---|
Provider Name | Saad Mohammad |
First Address | Purchase, NY 10577-2547 |
Second Address | White Plains, NY 10601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2010 |
Last Update Date | 28/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04833189 | (05) | NY |