Provider Demographics
NPI:1467513424
Name:KAMRAN, MUHAMMAD T (MD)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:T
Last Name:KAMRAN
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 1:117 PLYMPTON AVE
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-1944
Mailing Address - Country:US
Mailing Address - Phone:718-706-1009
Mailing Address - Fax:
Practice Address - Street 1:4305 48TH AVE
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-6241
Practice Address - Country:US
Practice Address - Phone:718-706-1009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY223562208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02340696Medicaid
NY06985Medicare ID - Type Unspecified
NY02340696Medicaid