Healthcare Provider Details

I. General information

NPI: 1023702529
Provider Name (Legal Business Name): MOHAMMED BILAL MUNEER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2023
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date: 01/08/2024
Reactivation Date: 05/28/2025

III. Provider practice location address

450 CLARKSON AVENUE, SUNY DOWNSTATE
BROOKLYN NY
11203
US

IV. Provider business mailing address

940 NE 13 STREET GT 2300
OKLAHOMA CITY OK
73104
US

V. Phone/Fax

Practice location:
  • Phone: 718-270-2078
  • Fax:
Mailing address:
  • Phone: 405-271-2429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number47490
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: