Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | S0743 | TX |
NPI | 1023428968 |
---|---|
Provider Name | Mumtaheena Miah |
First Address | Dallas, TX 75231-3437 |
Second Address | Dallas, TX 75231-3437 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2014 |
Last Update Date | 16/09/2020 |