Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ghulam Mujtaba Mehmood, PA

Individual provider Physician Assistant · NPI 1871992875

Ghulam Mujtaba Mehmood, PA is a Physician Assistant in Kew Gardens, New York. Practices as a sole proprietor. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2014
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

8002 Kew Gardens Rd
Kew Gardens, NY 11415-3600
Phone: (973) 922-0444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00345000 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence 017710 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 017710 (NY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 017710 (NY)

Record details

NPI number1871992875
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedAugust 15, 2014
Last updated in NPPESJuly 26, 2023
Certification dateJuly 26, 2023

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