Individual
DR. NIDA MAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3015 3RD AVE SE, ABERDEEN, SD 57401-5418
(605) 226-5500
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12019
SD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2016
Last updated
09/30/2020
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