Provider Demographics
NPI:1407871007
Name:BHIDYA, MOHAMMAD PARVEZ (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:PARVEZ
Last Name:BHIDYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VA NEW YORK HARBOR HEALTHCARE SYSTEM
Mailing Address - Street 2:179-00 LINDEN BLVD
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11425
Mailing Address - Country:US
Mailing Address - Phone:718-526-1000
Mailing Address - Fax:718-526-1000
Practice Address - Street 1:VA NEW YORK HARBOR HEALTHCARE SYSTEM
Practice Address - Street 2:179-00 LINDEN BLVD
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11425-0001
Practice Address - Country:US
Practice Address - Phone:718-526-1000
Practice Address - Fax:718-526-1000
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000025564207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3370042Medicaid
TN3378072Medicaid
F95964Medicare UPIN
TN3370042Medicare PIN
TN3378072Medicaid
TN3378072Medicare PIN