Individual
MOHAMMED N IMAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 SEAVIEW AVE, SUITE 202, STATEN ISLAND, NY 10305-3419
(718) 226-6201
(718) 226-1563
Mailing address
501 SEAVIEW AVE, SUITE 202, STATEN ISLAND, NY 10305-3419
(718) 226-6201
(718) 226-1563
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
285039
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64050214
—
KY
Enumeration date
06/21/2006
Last updated
04/25/2023
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