Individual
DR. ALI MUMTAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
8556 FORT SMALLWOOD RD, PASADENA, MD 21122-2634
(410) 255-1190
(410) 255-1484
Mailing address
4660 WILKENS AVE STE 202, BALTIMORE, MD 21229-4846
(410) 242-7066
(410) 242-4126
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
LL9771
MD
Other
Enumeration date
06/27/2016
Last updated
10/21/2025
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