Individual
MOHAMED AZEEM LATIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(917) 880-7333
Mailing address
140 RIVERSIDE BLVD APT 1901, NEW YORK, NY 10069-0615
(646) 773-2076
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
296681
NY
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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