Provider Demographics
NPI:1184448599
Name:KABIR, MUHAMMAD LUTFUL
Entity type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:LUTFUL
Last Name:KABIR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8615 233RD ST
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11427-2649
Mailing Address - Country:US
Mailing Address - Phone:718-313-6518
Mailing Address - Fax:
Practice Address - Street 1:8615 233RD ST
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11427-2649
Practice Address - Country:US
Practice Address - Phone:646-667-6696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY355453363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily