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Individual

TASNEEM UZMA HUDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9520 W PALM LN STE 150, PHOENIX, AZ 85037-4454
(602) 584-5444
(602) 584-6202
Mailing address
9520 W PALM LN STE 150, PHOENIX, AZ 85037-4454
(602) 584-5444
(602) 584-6202

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
47878
GA
363A00000X
Physician Assistant
Primary
9167
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
AZ
Enumeration date
05/06/2019
Last updated
06/27/2022
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