Provider Demographics
NPI:1598890303
Name:KABIR, MOHAMMED A (RPH)
Entity Type:Individual
Prefix:MR
First Name:MOHAMMED
Middle Name:A
Last Name:KABIR
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:8039 236TH ST
Mailing Address - Street 2:MOHAMMED A. KABIR
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11427-2123
Mailing Address - Country:US
Mailing Address - Phone:718-464-8126
Mailing Address - Fax:
Practice Address - Street 1:168-43 HIGHLAND AVE
Practice Address - Street 2:JAMAICA PHARMACY
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11423
Practice Address - Country:US
Practice Address - Phone:718-206-9333
Practice Address - Fax:718-206-9393
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY037926183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04278577Medicaid