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Individual
GHULAM MUJTABA MEHMOOD
Active
Individual
GHULAM MUJTABA MEHMOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
017710
NY
363A00000X
Physician Assistant
Primary
25MP00345000
NJ
363AM0700X
Medical Physician Assistant
017710
NY
363AS0400X
Surgical Physician Assistant
017710
NY
Other
Enumeration date
08/15/2014
Last updated
07/26/2023
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