| NPI | 1134666019 |
|---|---|
| Former Name | SHAISTA MAHMOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MD D85075) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 20364) |
| 207R00000X Internal Medicine (Licence: WI 47207-020) | |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2018-08-25 |