| Wali Mohammad, M.d., P.c. | |
|
2880 Baisley Ave Bronx NY 10461-6117 | |
| (718) 918-9158 | |
| (718) 822-3990 |
| Full Name | Wali Mohammad, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2880 Baisley Ave, Bronx, New York |
| Authorized Official Name and Position | Wali Mohammad (OWNER) |
| Authorized Official Contact | 7189189158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wali Mohammad, M.d., P.c. 2880 Baisley Ave Bronx NY 10461-6117 Ph: (718) 918-9158 | Wali Mohammad, M.d., P.c. 2880 Baisley Ave Bronx NY 10461-6117 Ph: (718) 918-9158 |
| NPI Number | 1922281344 |
|---|---|
| Provider Enumeration Date | 12/07/2007 |
| Last Update Date | 08/20/2008 |
| Medicare PECOS PAC ID | 0042277519 |
|---|---|
| Medicare Enrollment ID | O20080520000461 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922281344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 135344 (New York) | Primary |
| Provider Name | Wali Mohammad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437159548 PECOS PAC ID: 4284691767 Enrollment ID: I20041216000204 |
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