# MEDPRO MOVIL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154898187
- **Authorized official:** MOHAMMAD SADIQUE (DIRECTOR)
- **Authorized official phone:** (718) 739-1400

## Contact information

- **Practice address:** 16808 HILLSIDE AVE, JAMAICA, NY 11432-4341
- **Practice address phone:** (718) 739-1400
- **Practice address fax:** (800) 732-1219
- **Mailing address:** 1024 PENINSULA BLVD, WOODMERE, NY 11598-1542
- **Mailing address phone:** (718) 739-1400
- **Mailing address fax:** (800) 732-1219

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | Yes |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/29/2018
- **Last updated:** 10/29/2018