Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 172261 | NC |
Y | 2080P0204X | Pediatric Emergency Doctor | 172261 | NC |
NPI | 1235316878 |
---|---|
Provider Name | Warees Muhammad |
First Address | Fayetteville, NC 28304-3424 |
Second Address | Fayetteville, NC 28304-3424 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2008 |
Last Update Date | 29/07/2011 |