Individual
IFTIKHER UDDIN MAHMOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16401 NW 2ND AVE, SUITE 202, MIAMI, FL 33169-6036
(305) 947-4734
(305) 944-0619
Mailing address
16401 NW 2ND AVE, SUITE 202, MIAMI, FL 33169-6036
(305) 947-4734
(305) 944-0619
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME70343
FL
2080A0000X
Pediatric Adolescent Medicine Physician
ME70343
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250880000
—
FL
Enumeration date
03/20/2006
Last updated
10/07/2020
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