Provider Demographics
NPI:1174781751
Name:UDDIN, MOHAMMED HELAL (MD)
Entity type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:HELAL
Last Name:UDDIN
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 1:8401 169TH ST
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-2033
Mailing Address - Country:US
Mailing Address - Phone:646-339-2859
Mailing Address - Fax:
Practice Address - Street 1:1381 CASTLE HILL AVE
Practice Address - Street 2:STE 1&2
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-4839
Practice Address - Country:US
Practice Address - Phone:718-307-5796
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-30
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY254230207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program