Jalal Ud-din Bukhari, is a
Dentist - Oral And Maxillofacial Radiology based in South Setauket, New York. Jalal Ud-din Bukhari is licensed to practice in New York (license number 060812) and his current practice location is
53 Betty Ann Dr, South Setauket, New York. He can be reached at his office (for appointments etc.) via phone at
(631) 355-9371.
NPI number for Jalal Ud-din Bukhari is 1720513625 and his current mailing address is 36 Balsam Dr, Hicksville, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720513625.
Healthcare Provider's Profile
| Full Name | Jalal Ud-din Bukhari |
|---|
| Gender | Male |
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| Speciality | Dentist - Oral And Maxillofacial Radiology |
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| Location | 53 Betty Ann Dr, South Setauket, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720513625
- Provider Enumeration Date: 04/28/2017
- Last Update Date: 10/03/2019
Medical Identifiers
Medical identifiers for Jalal Ud-din Bukhari such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720513625 | NPI | - | NPPES |
| 97664419F45226 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223X0008X | Dentist - Oral And Maxillofacial Radiology | 060812 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jalal Ud-din Bukhari is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jalal Ud-din Bukhari,
36 Balsam Dr,
Hicksville, NY 11801-2051
Ph: (631) 355-9371 | Jalal Ud-din Bukhari,
53 Betty Ann Dr,
South Setauket, NY 11720-1043
Ph: (631) 355-9371 |
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