MEDICARE: MUHAMMAD SUBHANI MD

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080N0001X	Neonatal-Perinatal Medicine Physician	234458	NY

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1619979473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUHAMMAD SUBHANI MD

Provider Business Mailing Address
First Line	:	1400 WALLACE BLVD
Second Line	:	ATTN: CREDENTIALING DEPT.
City	:	AMARILLO
State	:	TX
Zip	:	79106-1708
Country	:	US
Telephone Number	:	806-354-5585
Fax Number	:	806-356-4673

Provider Business Practice Location Address
First Line	:	1400 S COULTER ST
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79106-1786
Country	:	US
Telephone Number	:	806-354-5630
Fax Number	:	806-354-5689

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	06/29/2011

1400 S COULTER ST STE 2400
AMARILLO, TX
79106-1786

Practice Phone: 806-414-9100
Practice Fax: