Provider Demographics
NPI:1992441778
Name:HOSSAIN, MOHAMMED SAKAWAT (PHARMACIST)
Entity type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:SAKAWAT
Last Name:HOSSAIN
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11208-2728
Mailing Address - Country:US
Mailing Address - Phone:929-444-8631
Mailing Address - Fax:
Practice Address - Street 1:7510 ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-6536
Practice Address - Country:US
Practice Address - Phone:718-406-9393
Practice Address - Fax:718-406-9339
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-05
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY069021183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist