Individual
DR. MAHBUB MOHAMMAD BHUIYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6 MEDICAL PLZ, GLEN COVE, NY 11542-2108
(631) 742-9081
Mailing address
1990 GOLFVIEW DR APT 205, TROY, MI 48084-3838
(248) 835-6958
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
P114784
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P114784
LIMITED PERMIT TO PRACTICE MEDICINE
—
Enumeration date
04/12/2022
Last updated
04/12/2022
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