1225352016 NPI number — MOHAMMAD JAMIL WAQAR RPH

Table of content: MOHAMMAD JAMIL WAQAR RPH (NPI 1225352016)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225352016 NPI number — MOHAMMAD JAMIL WAQAR RPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WAQAR
Provider First Name:
MOHAMMAD
Provider Middle Name:
JAMIL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RPH
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225352016
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/23/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11 ALLEY POND CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DIX HILLS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11746-5874
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-353-8984
Provider Business Mailing Address Fax Number:
631-364-1267

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11 ALLEY POND CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DIX HILLS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11746-5874
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-353-8984
Provider Business Practice Location Address Fax Number:
631-367-1266
Provider Enumeration Date:
03/23/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  32054 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)