Provider Demographics
NPI:1497724025
Name:MIKHAIL, MAGEDA BISHARA (MD)
Entity Type:Individual
Prefix:DR
First Name:MAGEDA
Middle Name:BISHARA
Last Name:MIKHAIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1300 FRANKLIN AVE
Mailing Address - Street 2:SUITE ML-6
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-1886
Mailing Address - Country:US
Mailing Address - Phone:516-663-3511
Mailing Address - Fax:516-663-4780
Practice Address - Street 1:222 STATION PLZ N
Practice Address - Street 2:SUITE 350
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-3808
Practice Address - Country:US
Practice Address - Phone:516-663-3511
Practice Address - Fax:516-663-4780
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY193868207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01709360Medicaid
08016810Medicare ID - Type Unspecified
NY01709360Medicaid