Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0210X | Pediatric Nephrologist | 25MA10702600 | NJ |
Y | 2080P0210X | Pediatric Nephrologist | C1-0013383 | DE |
N | 2080P0210X | Pediatric Nephrologist | MD442866 | PA |
N | 2080P0210X | Pediatric Nephrologist | MD61229543 | WA |
NPI | 1821299934 |
---|---|
Provider Name | Dr. Samina Muneeruddin |
First Address | Huntingdon Valley, PA 19006 |
Second Address | Wilmington, DE 19803-3607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 05/12/2021 |