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Individual

TANVEER SHAHABUDDIN MOLLAH MAKKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
525 E 68TH ST, NEW YORK, NY 10065-4870

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MA10894900
NJ
207P00000X
Emergency Medicine Physician
Primary
284669
NY
207P00000X
Emergency Medicine Physician
C200370
CA
207P00000X
Emergency Medicine Physician
CDRH.0065887
CO

Other

Enumeration date
04/24/2012
Last updated
05/05/2026
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