Individual
NISMA MUJAHID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
30 N 1900 E RM 4A330, SALT LAKE CITY, UT 84132-0002
(801) 581-5509
Mailing address
30 N 1900 E RM 4A330, SALT LAKE CITY, UT 84132-0002
(801) 581-5509
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
11899058-1205
UT
Other
Enumeration date
03/23/2019
Last updated
01/22/2024
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