Healthcare Provider Details
I. General information
NPI: 1285317198
Provider Name (Legal Business Name): LAL MUHAMMAD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/08/2023
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1500 SW 10TH AVE
TOPEKA KS
66604-1301
US
IV. Provider business mailing address
33 MITCHELL AVE STE 102
BINGHAMTON NY
13903-1642
US
V. Phone/Fax
- Phone: 785-354-5242
- Fax: 785-354-6349
- Phone: 607-762-3281
- Fax: 607-762-3295
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | 04-53570 |
| License Number State | KS |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: