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Individual

NIKHAT YASMEEN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4641 ROOSEVELT BLVD, PHILA, PA 19124-2343
(215) 831-4600
Mailing address
4641 ROOSEVELT BLVD, PHILA, PA 19124-2343
(215) 831-4600

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD073569L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1882078
PA
01
MD073569L
LICENSE NUMBER
PA
Enumeration date
05/16/2006
Last updated
07/08/2007
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