Provider Demographics
NPI:1295500726
Name:ALMOFLIHI, MOHAMMED FAISAL M (MD)
Entity type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:FAISAL M
Last Name:ALMOFLIHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE GUSTAVE L. LEVY PLACE, BOX 1272.
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6574
Mailing Address - Country:US
Mailing Address - Phone:917-673-1380
Mailing Address - Fax:
Practice Address - Street 1:ONE GUSTAV L. LEVY PLACE, 1272, DEPARTMENT OF UROLOGY,
Practice Address - Street 2:
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-241-3209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-15
Last Update Date:2024-08-06
Deactivation Date:2024-06-17
Deactivation Code:
Reactivation Date:2024-08-06
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program