Provider Demographics
NPI:1831306026
Name:MUHAMMAD NAEEM PHYSICIANS PC
Entity Type:Organization
Organization Name:MUHAMMAD NAEEM PHYSICIANS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHAUNTA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-776-0635
Mailing Address - Street 1:955 YONKERS AVE
Mailing Address - Street 2:SUITE 11
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-3060
Mailing Address - Country:US
Mailing Address - Phone:914-237-7031
Mailing Address - Fax:914-237-4510
Practice Address - Street 1:955 YONKERS AVE
Practice Address - Street 2:SUITE 11
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-3060
Practice Address - Country:US
Practice Address - Phone:914-237-7031
Practice Address - Fax:914-237-4510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY209347207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWLQ0714Medicare ID - Type UnspecifiedMEDICARE GROUP ID