Razaali H. Mamdani, Md, Pllc | |
1500 2nd Ave Watervliet NY 12189-2800 | |
(518) 272-0028 | |
Not Available |
Full Name | Razaali H. Mamdani, Md, Pllc |
---|---|
Speciality | Internal Medicine |
Location | 1500 2nd Ave, Watervliet, New York |
Authorized Official Name and Position | Razaali Mamdani (OWNER) |
Authorized Official Contact | 5182720028 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Razaali H. Mamdani, Md, Pllc 1500 2nd Ave Watervliet NY 12189-2800 Ph: (518) 272-0028 | Razaali H. Mamdani, Md, Pllc 1500 2nd Ave Watervliet NY 12189-2800 Ph: (518) 272-0028 |
NPI Number | 1689046682 |
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Provider Enumeration Date | 10/29/2015 |
Last Update Date | 10/29/2015 |
Medicare PECOS PAC ID | 3173828159 |
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Medicare Enrollment ID | O20160301000157 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689046682 | NPI | - | NPPES |
PENDING | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Razaali H Mamdani |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760587067 PECOS PAC ID: 3274716535 Enrollment ID: I20111228000693 |
Provider Name | Haeyoung Chong |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174002646 PECOS PAC ID: 3173869047 Enrollment ID: I20190114002517 |
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