Provider Demographics
NPI:1124819875
Name:MUHAMMAD, AMIR KHALID X (LAC)
Entity type:Individual
Prefix:
First Name:AMIR
Middle Name:KHALID
Last Name:MUHAMMAD
Suffix:X
Gender:
Credentials:LAC
Other - Prefix:
Other - First Name:AMIR
Other - Middle Name:K
Other - Last Name:MUHAMMAD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1950 HEMPSTEAD TPKE
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-1712
Mailing Address - Country:US
Mailing Address - Phone:516-232-0970
Mailing Address - Fax:
Practice Address - Street 1:1950 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-1712
Practice Address - Country:US
Practice Address - Phone:516-232-0970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031338171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist