Individual
NARGIZA MAHMUDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
963 STREET RD STE 103B, SOUTHAMPTON, PA 18966-4728
(267) 207-3955
(267) 805-4501
Mailing address
727 WELSH RD STE 203, HUNTINGDON VALLEY, PA 19006-6311
(215) 938-7725
(215) 938-7990
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC006719
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006719
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036598200001
—
PA
Enumeration date
06/11/2016
Last updated
03/20/2024
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