Individual
DR. MOHAMMAD A BILAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 MAPLE AVE, SMITHTOWN, NY 11787-3520
(631) 265-5777
(631) 265-5797
Mailing address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 476-2767
(631) 473-0132
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
222725
NY
2085R0202X
Diagnostic Radiology Physician
Primary
1669422572
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02672851
—
NY
Enumeration date
05/11/2006
Last updated
06/06/2016
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