| Physician Last Name: | Contractor |
| Physician First Name: | Mohamedikbal |
| Physician Middle Name: | Ebrahim |
| Address: | 161-71 86 Avenue
Apt. #2
Jamaica, New York 11432 |
| License Number: | 107204 |
| License Type: | MD |
| Year of Birth: |
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| Effective Date: | 09/26/1994 |
| Action Description for DOH Webpage: | License surrender |
| Misconduct Description for DOH Webpage: | The physician admitted to having been convicted in United States District Court, Eastern District of New York of possessing heroin with the intent to distribute. |
| License Limitations or Conditions for DOH Webpage: | |
| Board Order: |
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