Individual
SUMBAL IRSHAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(229) 668-3110
Mailing address
2050 TALLOKAS RD, MOULTRIE, GA 31768-7666
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125.086814
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2025
Last updated
06/23/2025
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