Provider Demographics
NPI:1215544010
Name:MAUDUDI MEDICAL HEALTH PC
Entity Type:Organization
Organization Name:MAUDUDI MEDICAL HEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:E
Authorized Official - Last Name:MAUDUDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-970-1056
Mailing Address - Street 1:2116 BATH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-4908
Mailing Address - Country:US
Mailing Address - Phone:347-338-5111
Mailing Address - Fax:347-338-5201
Practice Address - Street 1:2116 BATH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-4908
Practice Address - Country:US
Practice Address - Phone:347-338-5111
Practice Address - Fax:347-338-5201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-25
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Single Specialty