Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MOHAMMED MANSOORUL IMAM, DDS
Active Sole ProprietorDR. MOHAMMED MANSOORUL IMAM, DDS is a General Dentistry healthcare provider located in ELMHURST, New York. NPI 1598754947 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · ELMHURST, NY
Registration Details
- NPI Number
- 1598754947
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2005 (20.800200272533 yrs)
- Last Updated
- Nov 12, 2010
- License
-
049149 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5611 94TH STSUITE # LNELMHURST, NY, 113735080Browse NY providers · Browse ZIP 11373
- Phone
- 7182714424
- Fax
- 7182714799
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in ELMHURST, NY
| Name | Credential | NPI |
|---|---|---|
| DR. ERIC MIN HUANG | DDS | 1396749016 |
| DR. JOSE ARISTIDES ROA | DDS | 1205828423 |
| DR. STEVEN SPEZIALE | DDS | 1295728970 |
| QUAZI ZAFRI SATTER | DDS | 1588653166 |
| DR. PAUL SUM TAK YEUNG | D.D.S. | 1205825460 |
| DR. MOHAMMAD MIA | — | 1992795637 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.