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Individual

SHAHIDA RAHMAN MUNIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38582
WI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
38582
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110237344
RAIL ROAD MEDICARE
WI
05
32321700
WI
Enumeration date
07/26/2005
Last updated
10/08/2018
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