Provider Demographics
NPI:1386127173
Name:AJMAL, MUHAMMAD TUQEER
Entity type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:TUQEER
Last Name:AJMAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2530 OCEAN AVE APT 11D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-3917
Mailing Address - Country:US
Mailing Address - Phone:518-960-7582
Mailing Address - Fax:
Practice Address - Street 1:2530 OCEAN AVE APT 11D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-3917
Practice Address - Country:US
Practice Address - Phone:518-960-7582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-08
Last Update Date:2022-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH238353183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist