Provider Demographics
NPI:1225527740
Name:SOHAIL, AMIR HUMZA (MB;BS, MSC)
Entity type:Individual
Prefix:DR
First Name:AMIR
Middle Name:HUMZA
Last Name:SOHAIL
Suffix:
Gender:M
Credentials:MB;BS, MSC
Other - Prefix:DR
Other - First Name:ABDUL MALIK
Other - Middle Name:AMIR HUMZA
Other - Last Name:SOHAIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MB;BS
Mailing Address - Street 1:190 1ST STREET, APT 5E
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501
Mailing Address - Country:US
Mailing Address - Phone:202-769-7639
Mailing Address - Fax:202-865-6728
Practice Address - Street 1:259 1ST STREET
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501
Practice Address - Country:US
Practice Address - Phone:202-769-7639
Practice Address - Fax:202-865-6728
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-10
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program