Provider Demographics
NPI:1811056724
Name:HENA, MUHAMMAD A (MD)
Entity type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:A
Last Name:HENA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4 ATRIUM DRIVE
Mailing Address - Street 2:SUITE 230
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205
Mailing Address - Country:US
Mailing Address - Phone:518-489-4791
Mailing Address - Fax:518-489-4793
Practice Address - Street 1:4 ATRIUM DRIVE
Practice Address - Street 2:SUITE 230
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205
Practice Address - Country:US
Practice Address - Phone:518-489-4791
Practice Address - Fax:518-489-4793
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY113461-12086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00542030Medicaid
NYD73967Medicare UPIN
NYDD6048Medicare ID - Type Unspecified