Healthcare Provider Details

I. General information

NPI: 1780493429
Provider Name (Legal Business Name): ARMAN MAQBOOL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2025
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4461 STATE ROUTE 159 STE A
CHILLICOTHEE OH
45601-6000
US

IV. Provider business mailing address

51 FARRINGTON AVE
BAY SHORE NY
11706-3056
US

V. Phone/Fax

Practice location:
  • Phone: 740-779-4900
  • Fax: 740-779-4909
Mailing address:
  • Phone: 631-908-1120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number57.260201
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberP133266
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: