NPI | 1467614438 |
---|---|
Former Name | SADIA MAHMOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213E00000X Podiatrist (Licence: GA POD001220) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016005506) |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL 135) | |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA POD001220) | |
Enumeration Date | 2008-06-30 |
Last Update Date | 2019-07-08 |