Individual
INTIKHAB MOHSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
113 HOLLAND AVE, ALBANY, NY 12208-3410
(518) 626-5000
Mailing address
46 YORKSHIRE LN, DELMAR, NY 12054-1328
(518) 451-9239
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
33419
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050083665
RAILROAD MEDICARE
IA
05
—
1227496
—
IA
01
—
30117
BLUE CROSS
IA
Enumeration date
08/10/2005
Last updated
08/10/2011
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