Individual
HISHAM VALIUDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(734) 655-4800
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS020526
PA
Other
Enumeration date
02/13/2016
Last updated
09/18/2020
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