Individual
MUHAMMAD UBAID ULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11104 PARKVIEW CIRCLE DR, S-330, FORT WAYNE, IN 46845-1672
(230) 471-5114
Mailing address
11104 PARKVIEW CIRCLE DR, S-330, FORT WAYNE, IN 46845-1672
(230) 471-5114
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01073996A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100118790
—
KY
Enumeration date
06/16/2008
Last updated
01/21/2016
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