Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0101242686 | VA |
N | 111NI0900X | Internist | 0101242686 | VA |
Y | 207R00000X | Internist | 1252 | SD |
Y | 111NI0900X | Internist | 1252 | SD |
NPI | 1003079419 |
---|---|
Provider Name | Dr. Uzma Amer Mian |
First Address | Wagner, SD 57380-0280 |
Second Address | Wagner, SD 57380-9675 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2008 |
Last Update Date | 30/08/2011 |