| Mohawk Valley Multispecialty Medical Group Pllc | |
|
4988 State Highway 30 Amsterdam Memorial Suite 201 Amsterdam NY 12010-7520 | |
| (518) 428-5119 | |
| Not Available |
| Full Name | Mohawk Valley Multispecialty Medical Group Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4988 State Highway 30, Amsterdam, New York |
| Authorized Official Name and Position | Jamshaid A Minhas (OWNER) |
| Authorized Official Contact | 5183891725 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohawk Valley Multispecialty Medical Group Pllc Po Box 11719 Mohawk Valley Multispecialty Medical Group Pllc Albany NY 12211-0719 Ph: (185) 389-1725 | Mohawk Valley Multispecialty Medical Group Pllc 4988 State Highway 30 Amsterdam Memorial Suite 201 Amsterdam NY 12010-7520 Ph: (518) 428-5119 |
| NPI Number | 1184616930 |
|---|---|
| Provider Enumeration Date | 08/18/2005 |
| Last Update Date | 04/08/2020 |
| Certification Date | 04/08/2020 |
| Medicare PECOS PAC ID | 4688693849 |
|---|---|
| Medicare Enrollment ID | O20051116000789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184616930 | NPI | - | NPPES |
| 02858419 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Jamshaid A Minhas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093707846 PECOS PAC ID: 2769388768 Enrollment ID: I20031210000605 |
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