Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0101238612 | VA |
N | 111NI0900X | Internist | 0101238612 | VA |
N | 207R00000X | Internist | 4301095317 | MI |
N | 111NI0900X | Internist | 4301095317 | MI |
N | 207R00000X | Internist | MD035987 | DC |
N | 111NI0900X | Internist | MD035987 | DC |
N | 207RS0012X | Sleep Medicine | 4301095317 | MI |
N | 208000000X | Pediatrician | 0101238612 | VA |
N | 208000000X | Pediatrician | MD035987 | DC |
Y | 2084N0400X | Neurologist | 4301095317 | MI |
NPI | 1043498058 |
---|---|
Provider Name | Dr. Qurratul Aine Shamim-Uzzaman |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-5845 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2008 |
Last Update Date | 15/09/2011 |