Organization
IBN SINA HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD ALI PERVAIZ M.D. (SOLE OWNER)
(914) 316-4218
Entity
Organization
Contact information
Practice address
37868 US HIGHWAY 18, PRAIRIE DU CHIEN, WI 53821-8416
(702) 453-3799
(702) 453-5741
Mailing address
3939 LAVISTA RD STE E-348, TUCKER, GA 30084-5162
(702) 453-3799
(702) 453-5741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50398
WI
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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