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Individual

DR. SEEMAL MUMTAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
350 K ST UNIT 303, SAN DIEGO, CA 92101-6992
(619) 421-1111
(619) 421-1504
Mailing address
350 K ST UNIT 303, SAN DIEGO, CA 92101-6992
(619) 421-1111
(619) 421-1504

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5401
NE
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A115758
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HM056Z
MEDICARE PTAN
CA
Enumeration date
06/25/2007
Last updated
01/21/2016
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