Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | MD437316 | PA |
NPI | 1033346408 |
---|---|
Provider Name | Shikata Almaria Mudakha |
First Address | Philadelphia, PA 19102 |
Second Address | Philadelphia, PA 19102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2009 |
Last Update Date | 12/06/2009 |