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Individual
TABASSUM ZAFFAR IMAM
Active
Individual
TABASSUM ZAFFAR IMAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L4005
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036102902
—
IL
Enumeration date
11/28/2006
Last updated
02/22/2022
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