| Magnum Physicians Pc | |
|
151 Hempstead Tpke West Hempstead NY 11552-1622 | |
| (516) 455-4427 | |
| Not Available |
| Full Name | Magnum Physicians Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 151 Hempstead Tpke, West Hempstead, New York |
| Authorized Official Name and Position | Mohammed Ziaur Rahman (PRESIDENT) |
| Authorized Official Contact | 5164554427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnum Physicians Pc 3 Piper Ct Roslyn NY 11576-2019 Ph: (516) 801-1113 | Magnum Physicians Pc 151 Hempstead Tpke West Hempstead NY 11552-1622 Ph: (516) 455-4427 |
| NPI Number | 1144578303 |
|---|---|
| Provider Enumeration Date | 08/20/2012 |
| Last Update Date | 08/20/2012 |
| Medicare PECOS PAC ID | 2668619628 |
|---|---|
| Medicare Enrollment ID | O20130510000244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144578303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 236464 (New York) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | 179175 (New York) | Primary |
| Provider Name | Mohammed Z Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538154901 PECOS PAC ID: 9133183189 Enrollment ID: I20041118000692 |
| Provider Name | Sultana Y Rahman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386601359 PECOS PAC ID: 4880798206 Enrollment ID: I20070324000018 |
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