Individual
LUMA MOHSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 529-6111
Mailing address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 529-6111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
T4004
TX
Other
Enumeration date
03/26/2019
Last updated
09/26/2022
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