Provider Demographics
NPI:1891867859
Name:SABOOR, INAMULHAQUE M (MD)
Entity Type:Individual
Prefix:DR
First Name:INAMULHAQUE
Middle Name:M
Last Name:SABOOR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8605 SANTIAGO ST
Mailing Address - Street 2:
Mailing Address - City:HOLLIS
Mailing Address - State:NY
Mailing Address - Zip Code:11423-1117
Mailing Address - Country:US
Mailing Address - Phone:718-558-0280
Mailing Address - Fax:718-558-0290
Practice Address - Street 1:486 MCDONALD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-3812
Practice Address - Country:US
Practice Address - Phone:718-247-7226
Practice Address - Fax:718-558-0290
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY239768207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02880091Medicaid
NYWCKAA1Medicare PIN