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Individual

MOHAMMED LATIF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13215 BROOK LANE, HAGERSTOWN, MD 21742-1514
(301) 733-0331
(301) 733-4038
Mailing address
13121 BROOKLANE DR, HAGERSTOWN, MD 21742-1514
(301) 733-0331
(301) 733-4038

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0039233
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
763R
MEDICARE PROVIDER NUMBER
MD
Enumeration date
02/03/2006
Last updated
10/11/2016
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