Provider Demographics
NPI:1164498515
Name:OSMANI, ATAUL HOQUE MOHAMMED (MD)
Entity Type:Individual
Prefix:
First Name:ATAUL
Middle Name:HOQUE MOHAMMED
Last Name:OSMANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MOHAMMED
Other - Middle Name:ATAUL HOQUE
Other - Last Name:OSMANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:20 ARLINGTON PLACE
Mailing Address - Street 2:#1ST PLACE
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216
Mailing Address - Country:US
Mailing Address - Phone:718-636-0100
Mailing Address - Fax:718-636-0112
Practice Address - Street 1:20 ARLINGTON PLACE
Practice Address - Street 2:#1ST PLACE
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11216
Practice Address - Country:US
Practice Address - Phone:718-636-0100
Practice Address - Fax:718-636-0112
Is Sole Proprietor?:No
Enumeration Date:2006-02-26
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY238129207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3750P1Medicare PIN