Provider Demographics
NPI:1427132752
Name:BILLAH, MUHAMMAD (MD)
Entity type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:
Last Name:BILLAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:183 06 DALNY ROAD
Mailing Address - Street 2:MUHAMMAD BILLAH C/O COLER-GOLDWATER
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-2465
Mailing Address - Country:US
Mailing Address - Phone:718-526-2700
Mailing Address - Fax:718-526-8900
Practice Address - Street 1:170-12 HIGHLAND AVE SUITE 1023
Practice Address - Street 2:MUHAMMAD BILLAH C/O COLER-GOLDWATER
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-2783
Practice Address - Country:US
Practice Address - Phone:718-526-2700
Practice Address - Fax:718-526-8900
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY20528301207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY20528301OtherNYS LICENSE
NYBB6092009OtherNYS DEA