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MSU MEDICAL PC
NPI 1538416466
Specialist in Jamaica Hills, NY

Active since August 09, 2012
84 05 169TH STREET, JAMAICA HILLS, NY 11432(718) 657-8001(718) 732-0783 Get Directions Write a Review

NPPES record last updated: August 9, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Msu Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MSU MEDICAL PC (NPI 1538416466) is a healthcare organization registered as a specialist in Jamaica Hills, New York and active in the NPI registry since August 2012. The organization lists Mohammed Ullah, Owner-president, as its authorized official.

NPPES Registry Identity

NPI1538416466
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMSU MEDICAL PC
Location Address84 05 169TH STREETJamaica Hills, NY 11432
Mailing Address84 05 169th StreetJamaica Hills, NY 11432 · (718) 657-8001 · Fax (718) 732-0783
Phone(718) 657-8001
Fax(718) 732-0783
Organization SubpartNo
Authorized OfficialMohammed UllahOwner-president · (917) 293-3414
Enumeration DateAugust 9, 2012
✔ NPI 1538416466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 249483
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
84 05 169TH STREET, Jamaica Hills, NY 11432
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Other Identifiers 1

Medicaid03019909NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Msu Medical PC's NPI number?

The NPI number for Msu Medical PC is 1538416466. It was assigned to this organization in the NPPES registry on August 9, 2012.

Where is Msu Medical PC located?

Msu Medical PC is located at 84 05 169th Street, Jamaica Hills, NY 11432. The listed phone number is (718) 657-8001.

What is Msu Medical PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Msu Medical PC was last updated on August 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.