Individual
MOHAMMED A MUQTADAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 ROBINSON ST, BINGHAMTON, NY 13901-4101
(607) 724-1391
Mailing address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 983-8172
(256) 998-5453
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
P51148
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P51148
—
NY
Enumeration date
03/20/2007
Last updated
05/01/2017
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