Individual
SUMMAYA ABDUL LATIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
555 BLACK OAK DR, MEDFORD, OR 97504-8447
(541) 789-8873
(541) 789-2173
Mailing address
2825 E BARNETT RD # MSS, MEDFORD, OR 97504-8332
(541) 789-4281
(541) 789-4806
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD202990
OR
Other
Enumeration date
04/08/2015
Last updated
08/05/2021
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