Individual
AMJAD I MUFTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 ALPINE COURT, WILKES ABRRE, PA 18702
(570) 823-1022
Mailing address
1922 LAKES EDGE DRIVE, NEWBURGH, IN 47630
(812) 490-7722
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01056108B
IN
207R00000X
Internal Medicine Physician
Primary
01056108A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020116790001
—
PA
01
—
820682
FIRST PRIORITY HEALTH
PA
01
—
P00397954
RAILROAD MEDICARE
PA
Enumeration date
06/01/2005
Last updated
08/24/2015
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