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Organization
RAZAALI H. MAMDANI, MD, PLLC
Active
Organization
RAZAALI H. MAMDANI, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAZAALI MAMDANI MD (OWNER)
(518) 272-0028
Entity
Organization
Contact information
Practice address
1500 2ND AVE, WATERVLIET, NY 12189-2800
(518) 272-0028
Mailing address
1500 2ND AVE, WATERVLIET, NY 12189-2800
(518) 272-0028
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NY
Enumeration date
10/29/2015
Last updated
10/29/2015
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