Individual
TAJUDDIN MUHAMMAD JIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH MBA
Contact information
Practice address
2829 WEHRLE DR STE 11A, WILLIAMSVILLE, NY 14221-7387
(716) 836-1388
(716) 836-1399
Mailing address
2829 WEHRLE DR STE 11A, WILLIAMSVILLE, NY 14221-7387
(716) 334-9879
(716) 836-1399
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
183042
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01447790
—
NY
Enumeration date
05/18/2006
Last updated
01/03/2025
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