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Individual
MR. MUHAMMAD IMRAN
Active
Individual
MR. MUHAMMAD IMRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
019908-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108213800
OWCP#
NY
01
—
206166P
HIP PROVIDER#
NY
01
—
6604512
GHI #
NY
01
—
QL818
EMPIRE BLUECROSS BLUESHIE
NY
Enumeration date
04/09/2007
Last updated
05/20/2008
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