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Individual

SUMAYYA FATIMA

Active
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Individual

SUMAYYA FATIMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01061443A
IN
207R00000X
Internal Medicine Physician
MD425164
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102291840 0001
PA
01
30060503
KEYSTONE MERCY-LOWER BUCKS GROUP
PA
01
FA1928165
HIGHMARK BLUE SHIELD - BUCKS/LOWER BUCKS
NJ
Enumeration date
07/12/2006
Last updated
09/16/2016
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