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Individual
AQUILA FATHIMA
Active
Individual
AQUILA FATHIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
76971
WI
208M00000X
Hospitalist Physician
Primary
76971
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972089175
—
WI
Enumeration date
07/11/2018
Last updated
03/15/2023
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