Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208G00000X | Cardiothoracic Vascular Surgeon | E-3401 | AR |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | ME138715 | FL |
NPI | 1023020500 |
---|---|
Provider Name | Hamid Mumtaz |
First Address | Wesley Chapel, FL 33543-5453 |
Second Address | Wesley Chapel, FL 33543 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2006 |
Last Update Date | 06/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
154513001 | (05) | AR |
I11322 | (02) | AR |
P01149504 | RAILROAD MCARE (01) | AR |