Individual
HUMAIRA MAHBUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 MEDICAL CENTER BLVD, SUITE 404, UPLAND, PA 19013
(610) 619-8590
(610) 619-8591
Mailing address
30 MEDICAL CENTER BLVD, SUITE 404, UPLAND, PA 19013
(610) 619-8590
(610) 619-8591
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD442329
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD442329
PA
Other
Enumeration date
12/03/2009
Last updated
10/24/2013
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