Individual
DR. FATEMA M PHOTOWALA
Active
Individual
DR. FATEMA M PHOTOWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036-115996
IL
390200000X
Student in an Organized Health Care Education/Training Program
36115996
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036115996
—
IL
01
—
04515143
BCBS#
IL
Enumeration date
06/01/2007
Last updated
10/21/2022
Update your record
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