Individual
DR. WASEEM ULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301083777
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3008228201
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
4301083777
STATE OF MICHIGAN MEDICAL LICENSE
MI
Enumeration date
07/31/2006
Last updated
07/01/2016
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