Organization
IMRAN WAHEDNA, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IMRAN WAHEDNA M.D. (OWNER)
(631) 271-9151
Entity
Organization
Contact information
Practice address
40 HAMLET WOODS DR, SAINT JAMES, NY 11780-3167
(631) 271-9151
Mailing address
40 HAMLET WOODS DR, SAINT JAMES, NY 11780-3167
(631) 271-9151
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
240356
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240356
LICENSE
NY
Enumeration date
12/30/2013
Last updated
12/30/2013
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