MEDICARE: MH MEDICAL SERVICES P.C

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1528730470
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MH MEDICAL SERVICES P.C

Provider Business Mailing Address
First Line	:	10345 97TH ST APT A5
Second Line	:
City	:	OZONE PARK
State	:	NY
Zip	:	11417-1618
Country	:	US
Telephone Number	:	718-972-2704
Fax Number	:	917-396-4077

Provider Business Practice Location Address
First Line	:	4011 WARREN ST
Second Line	:
City	:	ELMHURST
State	:	NY
Zip	:	11373-1700
Country	:	US
Telephone Number	:	718-972-2704
Fax Number	:	917-396-4077

Authorized Official
Title or Position	:	OWNER
Name	:	MOHAMMAD HASANUZZAMAN
Credential	:
Telephone Number	:	347-622-8320

Provider Enumeration Date	:	09/29/2021
Last Update Date	:	09/29/2021

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