Muhammad Sanni Adam Md Pc | |
1983 University Blvd Bronx NY 10453-4404 | |
(718) 866-0510 | |
Not Available |
Full Name | Muhammad Sanni Adam Md Pc |
---|---|
Speciality | Internal Medicine |
Location | 1983 University Blvd, Bronx, New York |
Authorized Official Name and Position | Muhammad Sanni Adam (OWNER) |
Authorized Official Contact | 7188660510 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Muhammad Sanni Adam Md Pc 1983 University Avenue Bronx NY 10453-4404 Ph: (718) 866-0510 | Muhammad Sanni Adam Md Pc 1983 University Blvd Bronx NY 10453-4404 Ph: (718) 866-0510 |
NPI Number | 1225381965 |
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Provider Enumeration Date | 10/18/2012 |
Last Update Date | 09/29/2017 |
Medicare PECOS PAC ID | 8820236441 |
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Medicare Enrollment ID | O20130521000223 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225381965 | NPI | - | NPPES |
01591602 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Muhammad S Adam |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346329984 PECOS PAC ID: 8729008230 Enrollment ID: I20051129000866 |
Provider Name | Muniratu Alhassan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609203991 PECOS PAC ID: 1153547096 Enrollment ID: I20140729001996 |
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