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General NPI Number Information
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NPI Number | 1558823211
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Entity Type | Individual
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Provider Name | MOHAMMED SHAN UDDIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/02/2019
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 1305 YORK AVENUE, 11TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10021
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Country | US
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Telephone | 646-962-2020
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Fax | 646-962-0602
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Provider Business Mailing Address
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Address Line | 331 NEWMAN SPRINGS ROAD BLDG. 2, SUITE 220
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City | RED BANK
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State | NJ
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Zip | 07701
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Country | US
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Telephone | 732-807-0877
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Fax | 201-751-1680
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME168274
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207WX0109X
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Taxonomy Name | Neuro-ophthalmology Physician
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License Number | 328628
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207WX0109X
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Taxonomy Name | Neuro-ophthalmology Physician
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License Number | 25MA12841900
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License Number State | NJ
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