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Individual

NIZAM UD DIN

Active
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Individual

NIZAM UD DIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101266349
VA
208M00000X
Hospitalist Physician
0101266349
VA
208M00000X
Hospitalist Physician
238494
MA

Other

Enumeration date
05/20/2008
Last updated
05/01/2023
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