Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35082999A | OH |
N | 111NI0900X | Internist | 35082999A | OH |
N | 207R00000X | Internist | MD437258 | PA |
N | 111NI0900X | Internist | MD437258 | PA |
Y | 207RC0200X | Critical Care Medicine | MD437258 | PA |
N | 207T00000X | Neurosurgeon | MD437258 | PA |
NPI | 1043308323 |
---|---|
Provider Name | Dr. Muhammad Kamran Athar |
First Address | Philadelphia, PA 19107-4824 |
Second Address | Philadelphia, PA 19107-4824 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 16/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0311031 | (05) | NJ |
102338122 | (05) | PA |