Most Relevant Information
Provider Data
| NPI Number: | 1003468075 |
| Provider Name: | BILLAL MOHMAND MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/10/2019 |
| Last Updated: | 07/10/2019 |
Provider Practice Location
750 E ADAMS ST
SYRACUSE
NY
132102306
Practice Location Phone/Fax
| Phone: | 3154645240 |
| Fax: | 3154643751 |
Provider Mailing Location
750 E ADAMS ST
SYRACUSE
NY
132102306
Provider Mailing Phone/Fax
| Phone: | 3154645240 |
| Fax: | 3154643751 |