Dr. Mohammed Mansoorul Imam is a Elmhurst, New York based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Mohammed Mansoorul Imam is 049149 for General Practice Dentistry in New York. His current practice location is 5611 94th St, Suite # Ln, Elmhurst. Patients can reach him at 718-271-4424.
Dr. Mohammed Mansoorul Imam is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Mohammed Mansoorul Imam speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Mohammed Mansoorul Imam
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
5611 94th St, Suite # Ln, Elmhurst, New York, 11373-5080
Phone:
718-271-4424
Fax:
718-271-4799
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1598754947
NPI Enumeration Date:
18 Oct, 2005
NPI Last Update On:
12 Nov, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mohammed Mansoorul Imam are as mentioned below.
License Number
Specialization
State
Status
049149
General Practice Dentistry
New York
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mohammed Mansoorul Imam such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
02241183
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5611 94th St, Suite # Ln Elmhurst, New York
Zip:
11373-5080
Phone Number:
718-271-4424
Fax Number:
718-271-4799
Patients can reach Dr. Mohammed Mansoorul Imam at 5611 94th St, Suite # Ln, Elmhurst, New York or can call to book an appointment on 718-271-4424. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.