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Individual

DR. HUMAIRA K LATEEF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4126 N HOLLAND SYLVANIA RD, STE 140, TOLEDO, OH 43623
(419) 455-6728
Mailing address
4235 SECOR RD, TOLEDO, OH 43623
(419) 885-5688

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35.090954
OH
207Q00000X
Family Medicine Physician
Primary
35090954
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000057142
ANTHEM
05
2844739
OH
01
9532178
AETNA
Enumeration date
03/21/2007
Last updated
05/16/2017
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