Individual
AISHA AMBER MUMTAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
419 W REDWOOD ST STE 235, BALTIMORE, MD 21201-7031
(667) 214-1171
Mailing address
419 W REDWOOD ST STE 235, BALTIMORE, MD 21201-7031
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D0101729
MD
Other
Enumeration date
04/04/2017
Last updated
02/04/2025
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