Individual
MUHAMMAD AMJAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1508 S BROAD ST STE 300, SCOTTSBORO, AL 35768-2668
(256) 259-3600
(256) 259-3601
Mailing address
1508 S BROAD ST STE 300, SCOTTSBORO, AL 35768-2668
(256) 259-3600
(256) 259-3601
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24797
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009907805
—
AL
01
—
1021377281
MEDICARE PTAN
AL
05
—
1073601340
—
AL
01
—
1376966416
GROUP NPI
AL
05
—
155726
—
AL
05
—
156513
—
AL
01
—
51597531
BLUE CROSS
AL
Enumeration date
10/11/2006
Last updated
06/16/2015
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