Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 4301097188 | MI |
N | 2084N0402X | Child Neurologist | 01081623A | IN |
Y | 2084N0402X | Child Neurologist | 24332 | MS |
NPI | 1265735807 |
---|---|
Provider Name | Muhammad Ubaidulhaq |
First Address | Jackson, MS 39216-4500 |
Second Address | Jackson, MS 39216-4500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2010 |
Last Update Date | 02/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
07856779 | (05) | MS |