Individual
DR. RUSHDA MUMTAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1310 N 24TH ST STE 100, PHOENIX, AZ 85008
(602) 254-6101
(602) 279-1720
Mailing address
2902 E GARY WAY, PHOENIX, AZ 85042-7107
(602) 309-7716
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
28980
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
550899
—
AZ
Enumeration date
11/17/2005
Last updated
08/21/2018
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