Individual
HASHIM MUMTAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 S OAKWOOD RD, OSHKOSH, WI 54904-7944
(920) 223-2000
(920) 223-1230
Mailing address
500 S OAKWOOD RD, OSHKOSH, WI 54904-7944
(920) 223-2000
(920) 223-1230
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
53725
MN
208M00000X
Hospitalist Physician
Primary
64902
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
06/23/2008
Last updated
03/01/2016
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