FADOL MOHAMED OSMAN FADOL MOHAMED MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036168028

License Status

ACTIVE

Business

Title

First Name

FADOL

Middle

MOHAMED OSMAN FADOL

Last Name

MOHAMED

Business Name

FADOL MOHAMED OSMAN FADOL MOHAMED MD

Original Issue Date

12/20/2023

Effective Date

12/20/2023

Expiration Date

07/31/2026

City

BETHPAGE

State

Zip

11714

Ever Disciplined

LastModifiedDate

03/20/2025