| Wahid Medical Pllc | |
|
14728 Hillside Ave Jamaica NY 11435-3329 | |
| (718) 487-3671 | |
| (718) 487-3715 |
| Full Name | Wahid Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 14728 Hillside Ave, Jamaica, New York |
| Authorized Official Name and Position | Mohammed A. Wahid (OWNER) |
| Authorized Official Contact | 6467267301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wahid Medical Pllc 14728 Hillside Ave Jamaica NY 11435-3329 Ph: (718) 487-3671 | Wahid Medical Pllc 14728 Hillside Ave Jamaica NY 11435-3329 Ph: (718) 487-3671 |
| NPI Number | 1881116515 |
|---|---|
| Provider Enumeration Date | 07/14/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 6002178126 |
|---|---|
| Medicare Enrollment ID | O20180329000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881116515 | NPI | - | NPPES |
| 03279632 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mohammed A Wahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669790788 PECOS PAC ID: 8820285398 Enrollment ID: I20101209000473 |
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