Munibur Medical, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

246139 Issued in NY

Legal business name

MUNIBUR MEDICAL, LLC

Practice address

8542 Midland Pkwy
Jamaica, NY 11432-2222

Phone

(917) 402-6342

NPI assigned

May 10, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Munibur Rahman Khan, M.D.NPI 1477620466

Title

Ceo

Phone

(917) 402-6342

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Munibur Rahman Khan, M.D.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1477620466
  Medicare reassignment Authorized official
• Inamulhaque M Saboor, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1891867859
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1699034751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8542 MIDLAND PKWY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322222",
            "telephone_number": "917-402-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8542 MIDLAND PKWY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322222",
            "telephone_number": "917-402-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNIBUR MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MUNIBUR",
        "authorized_official_middle_name": "RAHMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-402-6342",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "246139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Multi-Diagnostic Services Inc.
• Multicare Chiropractic PC
• Zannathul Mumu
• Inna Munarova, DDS
• Gagandeep Munday
• Nydia M. Muniz, LCSW
• Colleen Munroe
• Jonathan Michael Muratori, DO
• Eduard Muratov, PA-C
• Marina Muratova

• Psychiatry Physician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.