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Individual
NEDA IMAM
Active
Individual
NEDA IMAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD449238
PA
207Q00000X
Family Medicine Physician
036.137120
IL
207Q00000X
Family Medicine Physician
MD449238
PA
207R00000X
Internal Medicine Physician
MD449238
PA
208M00000X
Hospitalist Physician
Primary
036137120
IL
Other
Enumeration date
06/18/2010
Last updated
10/24/2022
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