Individual
KHADIJA AHMAD MAMSA
Active
Individual
KHADIJA AHMAD MAMSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2013-0171
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12080845
—
NM
Enumeration date
02/02/2012
Last updated
08/27/2020
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