Individual
AYESHA WAHAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3703 PERKIOMEN AVE, READING, PA 19606-2714
(610) 898-7570
Mailing address
PO BOX 13579, READING, PA 19612-3579
(484) 628-0799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD438247
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102380716
—
PA
Enumeration date
10/15/2007
Last updated
08/10/2018
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