Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | K8367 | TX |
NPI | 1043201668 |
---|---|
Provider Name | Muhammad Naeem |
First Address | San Antonio, TX 78245-6627 |
Second Address | San Antonio, TX 78251 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 30/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G89745 | (02) | TX |