| Munibur Medical, Llc | |
|
8542 Midland Pkwy Jamaica NY 11432-2222 | |
| (917) 402-6342 | |
| Not Available |
| Full Name | Munibur Medical, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8542 Midland Pkwy, Jamaica, New York |
| Authorized Official Name and Position | Munibur Rahman Khan (CEO) |
| Authorized Official Contact | 9174026342 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Munibur Medical, Llc 8542 Midland Pkwy Jamaica NY 11432-2222 Ph: (917) 402-6342 | Munibur Medical, Llc 8542 Midland Pkwy Jamaica NY 11432-2222 Ph: (917) 402-6342 |
| NPI Number | 1699034751 |
|---|---|
| Provider Enumeration Date | 05/10/2012 |
| Last Update Date | 05/10/2012 |
| Medicare PECOS PAC ID | 9830353184 |
|---|---|
| Medicare Enrollment ID | O20120618000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699034751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 246139 (New York) | Primary |
| Provider Name | Munibur R Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477620466 PECOS PAC ID: 6709066038 Enrollment ID: I20110203000771 |
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