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Contact Information

MOHAMMAD A BILAL, MD
80 MAPLE AVE
SMITHTOWN, NY11787-3520
 Phone: 631-265-5777
 Fax: 631-265-5797
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for MOHAMMAD A BILAL · (Male)

NPI Number 1669422572
Status Active
Credentials MD
Entity Individual
Enumeration date 05/11/2006
Last updated 06/06/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 1669422572
  • NY License # 222725
  • NY Medicaid 02672851
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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