Individual
MIR MOHAMMAD TOKIR MUJTABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5724
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
51042
CT
207R00000X
Internal Medicine Physician
MD13464
RI
207RC0000X
Cardiovascular Disease Physician
Primary
20655
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578727178
MEDICARE
CT
Enumeration date
07/12/2008
Last updated
02/14/2024
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